Join Our Team as a Health Services Representative!

As a Customer Service Representative, you will be the first point of contact for our members and clients, providing guidance over the phone, resolving their needs on the first contact, and ensuring a professional, courteous, and efficient service experience.

Key Responsibilities:

• Handle member calls and provide information about their health plan.

• Guide and educate members on plan coverages and promotions (non-clinical topics).

• Document inquiries and actions taken, ensuring accuracy and compliance.

• Refer unresolved complaints to supervisors or the appropriate departments.

• Participate in outbound interviews, Contact Center projects, and training sessions.

• Maintain confidentiality and comply with regulations (HIPAA) and internal policies.

Requirements:

• Minimum of 1 year of Customer Service experience.

• High school diploma; college credits preferred.

• Proficiency in computer applications and Microsoft Office.

• Excellent verbal and written communication skills.

• Service-oriented mindset, empathy, and proactivity.

• Availability for rotating shifts (Monday to Sunday, including weekends and holidays).

Benefits:

• Training in customer service, regulations, and healthcare.

• 24/7 Telemedicine service.

• Free health and wellness programs for employees.

• Opportunities for growth and professional development.

• Contribution to the well-being of the population.

• Paid leave.

• 401(k) Retirement Plan.

Employment Type: Full-time
Location: On-site in Guaynabo or Mayagüez, PR

We are an Equal Employment Opportunity Employer (EEOC).