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

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