Bilingual/Spanish Member Service Reps (Work from Home)

Well Sense; Town of Maine (NY); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking nonprofit health insurance company as a Bilingual Member Service Representative. This exciting remote role offers the opportunity to make a difference in people's lives by providing essential support to members in both English and Spanish. With a strong focus on customer service, you'll handle inquiries, resolve issues, and contribute to a team dedicated to improving health outcomes. Enjoy a comprehensive benefits package, paid training, and pathways for career advancement. If you're passionate about helping others and thrive in a dynamic environment, this position is perfect for you.

Benefits

Paid Training

No-Premium Health Insurance Option

One-on-One Mentoring

Annual Cash Retention Bonus

Employee Resource Groups

Qualifications

• High school diploma or equivalent required, bachelor’s degree preferred.
• Prior professional work experience in customer service is ideal.

Responsibilities

• Provide accurate information to members and providers about health plans.
• Respond to a high volume of incoming calls in both English and Spanish.
• Document calls and maintain knowledge of contracts and policies.

Skills

Bilingual in Spanish

Customer Service

Communication Skills

Organizational Skills

Education

High School Diploma

Bachelor's Degree

Tools

Microsoft Office

Job description

Bilingual/Spanish Member Service Reps (Work from Home)

WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.

Bilingual/SpanishMember Service Representative (Work from Home)

Positions are full-time, work from home

Monday-Friday: 1st shift (no weekends) actual shifts may vary anywhere between the hours of 8AM – 6PM EST

Hourly rate: $19.50 per hour

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

As a WellSense Service Representative, you’ll serve as the first line of support for our stakeholders by providing accurate and thorough information to current and prospective members, providers and internal customers about our various health plans. In this role, you’ll make a difference for others every day. This role has also proven to be an excellent starting point for long-term growth and advancement in our company.

We are seeking applicants that are bilingual in Spanish that are able to help us staff our Spanish call lines. Bilingual reps will take calls in both English and Spanish.

Our Investment in You:

• WellSense Health Plan is only able to employ in the following states: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin
• Paid 10-week training period
  • Bring your enthusiasm and people skills, and we will train you on the health insurance business and how to confidently resolve inquiries
• Excellent benefits program, including a no-premium health insurance option
• One-on-one mentoring and on-the-job training
  • New hire buddy program, Team Assist Line and Ulysses Learning, a leader in customer service and call center learning programs
• Opportunities to increase your title and pay based on demonstrated knowledge, abilities and performance
• Recurring annual cash retention bonus for remaining within the Customer Care position
• Internal employee application program to grow into roles in other departments
• Recognition and rewards for high performance and improvement
• Employee resource groups for corporate diversity and inclusion initiatives

Key Responsibilities:

• Utilize appropriate resource materials to own interactions in order to effectively and accurately interpret‚ respond and resolve customer inquiries and problems while delivering outstanding service as a means to build loyalty, improve retention, and satisfy best-in-service goals and objectives
• Respond to a high volume of incoming calls from members and providers (call length can vary widely, from five minutes to 45 minutes or more)
• Ability to take calls both in Spanish and English
• Maintain knowledge of WellSense contracts and policies and effectively interpret information
• Employ strong interpersonal skills to handle difficult calls courteously and professionally
• Document calls in accordance with departmental policies
• Work with peers to solve problems and promotes teamwork
• Meet or exceed department’s quality and productivity goals
• Perform other duties as assigned

Qualifications

Education:

• High school diploma or equivalent required, bachelor’s degree preferred

Experience

• Prior professional work experience, ideally with customer service
  • It’s ok if you haven’t worked in a call center before, we will train you!

Competencies, Skills, and Attributes:

• Excellent verbal and written communication skills
• Strong organizational skills with the ability to prioritize a high volume of adjustment requests, multi-task and prioritize work
• Ability to make reasonable and sound business decisions based on established standards and guidelines
• Working knowledge of Microsoft Office products
• Bilingual in Spanish, Portuguese, Haitian Creole or other language is highly desirable
• Able to comfortably work from home with access to a high-speed internet connection
• Regular and reliable attendance
• Ability to work overtime during peak periods

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

Important info on employment offer scams:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not solicit individuals via text, we do not ask or require downloads of any applications, or “apps,” and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. You should never pay money for the promise of priority, interview or employment. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC .