Remote Health Insurance Customer Advocate

Colorado Access; United States; Remote; USD 52,000 - 54,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Flexible spending accounts

Life insurance

Disability insurance

Paid time off

Retirement plan

Tuition reimbursement

Annual bonus

Job summary

Colorado Access is seeking a detail-oriented Customer Service Representative to handle inbound calls, offer policy information, and assist members with benefits and claims in a remote setting. This role requires strong communication, HIPAA awareness, and the ability to manage multiple inquiries efficiently.

Ideal candidates bring at least two years of customer service experience, familiarity with medical insurance, and bilingual Spanish/English skills.

Qualifications

• High school diploma or equivalent required.
• Minimum 2 years of customer service experience; medical insurance/Medicaid knowledge preferred.
• Bilingual Spanish/English highly preferred.
• Call center environment and professional communication expected.
• Proficiency in Microsoft Office and related tools.

Responsibilities

• Answer incoming calls with a customer-focused approach while maintaining professionalism and courtesy.
• Maintain full availability during scheduled shifts and be accessible throughout the workday.
• Research, resolve, and document customer inquiries, concerns, and issues accurately.
• Provide information on benefits, coverage, policies, claims, and general inquiries.
• Document interactions clearly in required systems (e.g., E-Plus).
• Conduct outbound calls for follow-ups, benefits information, and claims clarifications.
• Respond to email inquiries in a professional, HIPAA-compliant manner.
• Assist members with policy updates and general account questions.
• Guide on how to file claims and required documentation.
• Adhere to daily schedule, attendance, and punctuality.
• Meet or exceed performance, quality, and customer service standards.

Skills

Customer service

Call center

Bilingual Spanish/English

Microsoft Office

Communication skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Colorado Access is seeking a detail-oriented Customer Service Representative to handle inbound calls, offer policy information, and assist members with benefits and claims in a remote setting. This role requires strong communication, HIPAA awareness, and the ability to manage multiple inquiries efficiently.

Ideal candidates bring at least two years of customer service experience, familiarity with medical insurance, and bilingual Spanish/English skills.