Member & Provider Care Specialist

1 hour, 50 minutes ago
Full-time
Junior
Customer and Technical Support
Oscar

Oscar

Oscar is a health insurance company that offers plans for individuals, families, and small businesses. With a focus on humanizing health care through technology, design, and data, Oscar provides easy-to-understand bills, 24/7 access to doctors, and a p...

Insurance
1K-5K
Founded 2012

Description

  • Handle inbound and outbound calls, secure messages, and email communications with members or providers.
  • Manage queue work and assigned cases through efficient dashboard management.
  • Identify, investigate, and resolve issues within defined SLAs.
  • Collaborate with colleagues, Experts, and Leads to identify trends and roadblocks.
  • Use internal tools and resources to support case resolution and workflows.
  • Communicate findings and resolutions to providers and internal departments.
  • Support Member and Provider Services representatives with complex issues, workflows, and training.
  • Escalate updates or incorrect information in the internal knowledge management system.
  • Partner with production teams across the life cycles to improve the member and provider experience.
  • Ensure compliance with all applicable laws and regulations.

Requirements

  • 1+ years of experience in customer support, healthcare, tech, or a related field.
  • 6+ months of member and customer service experience.
  • 1+ year of escalations experience in a customer service environment.
  • Experience working in a fast-paced environment.
  • Must reside in Arizona, Florida, Georgia, or Texas for this remote role.
  • High school diploma or GED (preferred).
  • Bachelor's degree (preferred).
  • 1+ years of claims experience (preferred).
  • Bilingual Spanish (preferred).

Benefits

  • $22.00 per hour base pay.
  • Eligible for employee benefits.
  • Monthly vacation accrual at a rate of 15 days per year.
  • Medical, dental, and vision insurance.
  • 11 paid holidays.
  • Paid sick time.
  • Paid parental leave.
  • 401(k) plan participation.
  • Life and disability insurance.
  • Paid wellness time and reimbursements.

Interested in this position?

Apply directly on the company website

Apply Now

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