Healthcare Customer Service Specialist

MCS Puerto Rico; San Juan (PR); On-site; USD 29,000 - 38,000; Part time

Job summary

MCS Puerto Rico is seeking a Customer Service Representative I – SC in San Juan, PR. The role involves assisting customers with information about products and services, addressing questions from beneficiaries, and following established processes to ensure continuity of offerings.

Responsibilities include handling inquiries on eligibility, processing requests for duplicate cards, maintaining CRM records, and supporting call center operations.

Qualifications

• Bachelor’s degree or 60–64 college credits and relevant experience.
• At least 6 months of customer service experience, preferably in a health insurance call center.
• Bilingual in Spanish and English at an intermediate level (writing and speaking).

Responsibilities

• Handle and resolve service requests from customers and prospects about policyholder eligibility and benefits.
• Document actions and maintain CRM case notes and transaction reports.
• Update policyholder demographics in the database.
• Assist visitors and evaluate service needs to determine appropriate action.
• Answer calls from the center and follow up when needed to complete service cycles.
• Escalate complaints to the appropriate unit following protocol.
• Support other departments by handling Health Risk Assessment calls.

Skills

Customer service

Communication

Telephone etiquette

Education

Bachelor’s Degree

Associate’s Degree

High School Diploma

Job description

MCS Puerto Rico is seeking a Customer Service Representative I – SC in San Juan, PR. The role involves assisting customers with information about products and services, addressing questions from beneficiaries, and following established processes to ensure continuity of offerings.

Responsibilities include handling inquiries on eligibility, processing requests for duplicate cards, maintaining CRM records, and supporting call center operations.