Customer Service Representative

Job Description

Job Description

Join Our Team as a Health Services Representative!

Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer Service Representatives , playing a key role in the experience of our members and clients.

In this position, you will serve as the first point of contact , providing phone support, addressing members’ needs on the first interaction whenever possible, and ensuring a professional, empathetic, and efficient service experience .

Additionally, there are opportunities for development to support services for clients in the United States , allowing you to expand your professional experience in a dynamic and international environment.

Key Responsibilities

• Answer member calls and provide clear information about their health plans.

• Guide and educate members about coverages, benefits, and plan promotions (non-clinical topics).

• Document inquiries, actions taken, and follow-ups, ensuring accuracy and compliance .

• Escalate unresolved situations or complaints to supervisors or the appropriate departments.

• Participate in outbound calls, Contact Center projects, and training programs .

• Maintain confidentiality of information and comply with regulations such as HIPAA and internal policies.

Requirements

• Minimum 1 year of Customer Service experience .

• High school diploma required (college credits preferred).

• Knowledge of computer applications and Microsoft Office .

• Excellent verbal, written, and reading communication skills .

• Bilingual (Spanish and English) preferred , especially for opportunities supporting services in the United States.

• Strong customer service orientation, empathy, and proactive attitude .

• Availability to work rotating shifts (Monday through Friday, 8:00am - 6:00pm) .

Benefits

• Specialized training in customer service, regulations, and healthcare topics .

• 24/7 Telemedicine service .

• Free employee health and wellness programs .

• Opportunities for professional growth and career development .

• Paid leave .

• Retirement plan .

• The opportunity to positively impact the well-being of the population .

Location: On-site in Guaynabo or Mayaguez, Puerto Rico

Employment Type: Full-time | Temporary

We are an Equal Employment Opportunity Employer (EEOC) .