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[Remote] Full - Time Customer Service Representative (Remote AZ)

Remote role Full-time Open position

Note: The job is a remote job and is open to candidates in USA. Oscar Health is a health insurance company focused on serving its members through a technology-driven platform. They are seeking a Full-Time Customer Service Representative to manage customer interactions and back office tasks, ensuring service delivery and compliance with operational standards.

Responsibilities

  • Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model
  • Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
  • Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations
  • Form working relationships with all partners
  • Support the leadership team by identifying issues through established escalation pathways
  • Monitor and track the health of all assigned work-in-progress issues
  • Escalate and resolve issues to ensure appropriate turnaround times
  • Participate in process improvement projects
  • Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Skills

  • 1+ years of experience in a high-volume or customer-focused setting
  • 6+ Months of healthcare experience
  • High school diploma or GED
  • Strong quantitative or analytical skills focused on identifying or solving problems
  • Must be bilingual in Spanish and English with full professional proficiency in reading, writing, and speaking
  • Experience manipulating and entering accurate data
  • Advanced Google Suite or Microsoft Office capabilities

Benefits

  • Medical, dental, and vision benefits
  • 11 paid holidays
  • Paid sick time
  • Paid parental leave
  • 401(k) plan participation
  • Life and disability insurance
  • Paid wellness time and reimbursements

Company Overview

  • Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products. It was founded in 2012, and is headquartered in New York, New York, USA, with a workforce of 1001-5000 employees. Its website is http://www.hioscar.com.
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