Remote Spanish/English Speaking Customer Service Representative

About the company

We are a well-established and growing company headquartered in Manhattan, New York, specializing in healthcare claims administration and employee benefits solutions. We work closely with healthcare providers, insurance companies, employers, and members to deliver exceptional customer service and administrative support. As part of our continued growth, we plan to open a satellite office in Florida.

Join our team, a leader in delivering unparalleled service and support to our clients and their employees. We pride ourselves on fostering a dynamic, supportive, and innovative work environment where your contributions make a real difference.

Your tasks

As a Client Service Specialist (CSS), you will be an integral part of our call center operations, offering first-line support and guidance to our clients' employees regarding their benefit programs. You'll have the opportunity to work with a variety of vendor systems, gain an in-depth understanding of diverse benefit plans, and help our members maximize their benefits.

• Provide comprehensive assistance to callers with inquiries related to their employer's benefit programs.
• Support members in filing claims, setting up direct deposits, and issuing new vendor cards.
• Update and maintain member demographic information across internal and external systems.
• Capture and advise on plan elections, helping employees understand and fully utilize their benefits.
• Conduct provider searches and enroll dependents, ensuring a seamless benefits experience for all members.
• Act as a liaison for escalated issues, working closely with Account Managers to resolve complex inquiries.
• Manage a high volume of calls while employing de-escalation techniques and striving for first-call resolution.
• Maintain detailed call logs to ensure thorough follow-up and timely resolution of member inquiries.
• Participate in outreach campaigns, fostering strong relationships with clients and their employees.
• Collaborate with a team of Account Specialists and Managers to monitor and resolve pending eligibility issues.

Requirements

Customer service experience is required. Candidates must have experience providing outstanding customer support, handling inbound and outbound calls, resolving customer inquiries, and maintaining a professional, friendly demeanor.

Healthcare industry experience is a plus, but not required. If you have excellent communication skills, enjoy helping people, and thrive in a fast-paced, team-oriented environment, we'd love to hear from you.

• Must be fluent in both Spanish and English (spoken and written).
• Previous customer service experience is required.
• Healthcare industry experience is a plus, but not required.
• Exceptional communication skills with the ability to clearly and empathetically assist callers.
• Basic understanding of employee benefits, insurance terminology, and related products/services.
• Proficiency with computer systems, including CRM platforms, Microsoft Office Suite, and the ability to learn new software quickly.
• Experience using standard office equipment and technologies (fax, copier, postage machines).
• Ability to manage a high volume of calls, especially during peak periods, while maintaining a positive and professional demeanor.
• A team player who thrives in a collaborative environment but is also able to work independently.

What we offer

• Competitive hourly pay.
• Medical Insurance, Mental Health Benefits, and Pharmacy Benefits.
• Opportunities for professional growth and development within a supportive and dynamic team.
• A culture that values work-life balance while providing the flexibility of working remotely.
• The opportunity to make a meaningful impact by helping employees better understand and maximize their benefits.

• Health Care Plan (Medical, Dental & Vision)
• Work From Home

Other

Full-Time Long Term Remote Spanish/English Speaking Customer Service Representative Location: Must live anywhere in FloridaPay: $14.00 per hour, plus Medical Insurance, Mental Health Benefits, and Pharmacy Benefits

Department: Fixed Cost Division Reports To: Director of Account Services

We are currently seeking a long-term, full-time long term temporary Customer Service Representative to join our team. This is a fully remote position, and you may live anywhere in Florida.