Customer Care Representative I - Bilingual (US)

Elevance Health (Anthem); Mayagüez (PR); Hybrid; USD 38,000 - 48,000; Full time

Job summary

Elevance Health is seeking a Customer Care Representative I - Bilingual (US) to join a hybrid team. The role involves handling calls and written inquiries about insurance benefits, contracts, eligibility and claims, with guidance from colleagues and supervisors.

You will need to pass training and support non-basic issues as part of a collaborative group. Candidates should be bilingual (Spanish) and comfortable navigating computerized tracking systems.

Qualifications

• Bilingual (Spanish) or multi-language skills required.
• Strong verbal and written communication skills.
• Experience in an automated customer service environment preferred.

Responsibilities

• Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyzes problems and provides information/solutions.
• Documents information, activities and changes in the database.
• Develops and maintains positive customer relations and coordinates with various functions to ensure timely handling of requests.
• Researches and analyzes data to address operational challenges and customer service issues.

Skills

Bilingual (Spanish)

Communication skills

Customer service

Education

HS diploma or equivalent

Tools

PC/CRM systems

Job description

Anticipated End Date:

2026-12-14

Position Title:

Customer Care Representative I - Bilingual (US)

Job Description:

Hybrid 1: This role requires associates to be in-office 1 - 2 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.

Please 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 accommodation is granted as required by law.

Customer Care Representative I - Bilingual (US)

The Customer Care Representative I - Bilingual (US) will be responsible for successfully completing required basic training and performing basic job functions with support from co-workers, specialists, and managers on non-basic issues.

How you will make an impact:

• Responds to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims.
• Analyzes problems and provides information/solutions.
• Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.
• Thoroughly documents inquiry outcomes for accurate tracking and analysis.
• Develops 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.
• Researches and analyzes data to address operational challenges and customer service issues.
• Provides external and internal customers with requested information.
• Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.
• Uses 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.
• Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
• Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment.
• Strong verbal and written communication skills, both with virtual and in-person interactions.
• Attentive to details, critical thinker, and a problem-solver.
• Demonstrates empathy and persistence to resolve caller issues completely.
• Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.
• Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.
• Performs other duties as assigned.

Minimum Requirements:

Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background. Must pass the appropriate pre-employment test battery. Bilingual (Spanish) or multi-language skills required. Must be able to pass a validated language test/assessment.

Preferred Skills, Capabilities and Experiences:

This position is defined as virtual, or work-from-home, however you may need to report into a local office periodically.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

CUS > Care Reps

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and l