Healthcare Customer Service Specialist

Wipro; Región Centro; Presencial; MXN 188.000 - 225.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Life insurance

Major medical insurance

Dental and vision plan

30 days Christmas Bonus

Food Vouchers

2 Extra PTO days per year

Descripción de la vacante

Wipro is seeking a Customer Service Representative (CSR) to support our operations in a call center environment. You will handle inquiries, assist with benefits and claims, and ensure a high-quality customer experience.

You will educate members on plans, document interactions in CRM, and collaborate with Claims, Billing, Enrollment, and Provider Services to resolve issues. This on-site role requires strong English and problem-solving skills, with a shift that covers 6 AM–8 PM, Monday to Friday,

Formación

• 6 months to 3 years of experience in Customer Service.
• English Advanced level.
• High School graduated.
• Professional customer service skills: solution mindset, helping nature, passion for the customer and customer experience.
• Fair written and verbal communication skills.
• Critical thinking and logical thinking.
• Ability to multitask and work under pressure.
• Thinks outside of the box.
• Demonstrated ability to be a fast learner and diligent worker.
• Problem solving abilities.

Responsabilidades

• Handle inbound and outbound customer interactions via phone, email, chat, and other communication channels.
• Assist members with questions related to benefits, coverage, eligibility, claims, and healthcare services.
• Research and resolve member inquiries, complaints, and escalated issues in a timely and professional manner.
• Educate members on plan policies, procedures, available programs, and self-service resources.
• Document all interactions accurately within CRM and healthcare administration systems.
• Coordinate with internal departments such as Claims, Billing, Enrollment, and Provider Services to resolve complex issues.
• Meet established service level agreements (SLAs), quality standards, and productivity goals.
• Ensure compliance with HIPAA and all applicable healthcare regulations.Maintain a member-first approach while delivering high-quality customer support.

Conocimientos

English (Advanced)

Customer service

Problem solving

Multitasking

Fast learner

Communication skills

Educación

High School diploma

Herramientas

CRM software

Descripción del empleo

Wipro is seeking a Customer Service Representative (CSR) to support our operations in a call center environment. You will handle inquiries, assist with benefits and claims, and ensure a high-quality customer experience.

You will educate members on plans, document interactions in CRM, and collaborate with Claims, Billing, Enrollment, and Provider Services to resolve issues. This on-site role requires strong English and problem-solving skills, with a shift that covers 6 AM–8 PM, Monday to Friday,