Logo
job logo

Cust Care Rep I-Bilingual

Elevance Health, San Juan, Puerto Rico, United States, 00909

Save Job

divh2Cust Care Rep I-Bilingual/h2pCustomer Care Representative

Bilingual (English/Spanish) (Hybrid)/ppLocation: Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace./ppPlease note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law./ppTraining will be onsite Monday, Tuesday and Thursday - Virtual Wednesday and Friday Hours are Monday-Friday 8:30-6:30 PM./ppStarting Date: February 9, 2026/ppA proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans./ppThe Customer Care Representative is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues./ppHow you will make an impact:/pulliResponds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims./liliAnalyzes problems and provides information/solutions./liliOperates a PC/image station to obtain and extract information; documents information, activities and changes in the database./liliThoroughly documents inquiry outcomes for accurate tracking and analysis./liliDevelops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner./liliResearches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information./liliUnder immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature./liliUses computerized systems for tracking, information gathering and troubleshooting. Requires limited knowledge of company services, products, insurance benefits, provider contracts and claims. Seeks, understands and responds to the needs and expectations of internal and external customers./li/ulpMinimum Requirements:/pulliRequires a HS diploma or equivalent/liliPrevious experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background./liliBilingual (Spanish/English) or multi-language skills. Must be able to pass a validated language test/assessment./li/ulpPreferred Requirements:/pulliFull availability to work an 8-hour shift/liliAutomated Customer Service experience preferred./li/ul/div