Customer Service Representative - French Speaking

Insight Global; Miami (FL); On-site; USD 38,000 - 56,000; Full time

Job summary

Insight Global is seeking a bilingual French-English Customer Service Representative to support medical providers and members, coordinating treatments and authorizations, and issuing GOPs for international cases.

This role requires 2+ years in health insurance customer service, strong analytical and time-management skills, and a high school diploma. You will thrive in a small entrepreneurial environment and handle inquiries about authorizations and claims status, in a fast-paced setting.

Qualifications

• Bilingual French and English required.
• 2+ years of experience in customer service, preferably in health insurance.
• Strong analytical, detail-oriented and accuracy skills.
• Ability to manage time effectively, set priorities, meet deadlines, and adapt to change.
• Desire to work in a small entrepreneurial environment.

Responsibilities

• Coordinate approvals and eligibility, inform medical providers, and issue GOPs per policy and client authorizations.
• Track and follow up cases in Latin America and ensure timely communication with providers.
• Provide guidance to international members seeking medical treatments or procedures.
• Respond to routine inquiries by phone and written correspondence about authorizations and claims status.
• Screen and route complex cases to the appropriate manager.
• Navigate multiple systems to obtain data needed to issue GOPs.
• Verify payments/denials and inform relevant parties about authorization status.

Skills

Bilingual French-English

Customer service

Analytical thinking

Time management

Adaptability

Education

High school diploma/GED

Job description

Job Description

Job Overview: The role requires communication between medical providers and our client as well as members. The customer service rep is to coordinate treatment and provide authorizations/issue GOP’s for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.

Responsibilities and Duties

• Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOP’s according to policy and client authorizations
• Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers
• Provide guidance, support and advice to international members seeking medical treatments or procedures
• Responds to routine phone inquiries and written correspondence related to authorizations and claims status
• Screens and routes complex cases to the appropriate manager
• Navigates multiple systems to obtain necessary data to issue GOP’s
• Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [e-mail] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

• Bilingual French and English speaker
• 2+ years of experience in customer service, health insurance field a plus
• High school diploma/GED required
• Strong analytical, detail-oriented and accuracy skills are required
• Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change
• Desire to work in a small entrepreneurial environment