Health Insurance Customer Support Specialist I

MCS Health; Caguas (PR); On-site; USD 32,000 - 42,000; Full time

Job summary

MCS Health seeks a Customer Service Representative I to assist customers and prospects with information about our health products and services. You will address questions from beneficiaries and resolve service needs by following established processes to ensure continuity of offerings by the Service Center.

The role requires a Bachelor's degree or equivalent experience, strong communication in Spanish and English, and familiarity with CRM tools.

Qualifications

• Education: Bachelor’s degree or two years of college credits with related experience in customer service, preferably in health insurance.
• Alternative: An Associate degree with one year of customer service experience.
• Alternative: High School diploma with two years of customer service experience in health insurance.

Responsibilities

• Handle and resolve service requests from customers and prospects, including inquiries about eligibility, policy changes, duplicate cards, and reimbursements.
• Prepare coverage certifications and non-covered service letters as requested.
• Maintain accurate policyholder data in the systems and update demographics.
• Log and track cases in the CRM, provide status updates, and document service steps.

Skills

Customer service

Call center

Keyboard etiquette

Phone etiquette

Spanish language

English language

Education

Bachelor's degree

Associate degree

High School Diploma

Tools

CRM system

Job description

MCS Health seeks a Customer Service Representative I to assist customers and prospects with information about our health products and services. You will address questions from beneficiaries and resolve service needs by following established processes to ensure continuity of offerings by the Service Center.

The role requires a Bachelor's degree or equivalent experience, strong communication in Spanish and English, and familiarity with CRM tools.