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Customer Care Representative I-Bilingual

Anticipated End Date:

2025-05-10

Position Title:

Customer Care Representative I-Bilingual

Job Description:

Customer Care Representative I-Bilingual

The Customer Care Representative I-Bilingual is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.  

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.

Minimum Requirements:

  • Requires a high school diploma or GED equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

  • Bilingual (Spanish) or multi-language skills required. Must be able to pass a validated language test/assessment.

This position is defined as remote, 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 long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Average salary estimate

$40000 / YEARLY (est.)
min
max
$35000K
$45000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Customer Care Representative I-Bilingual, elevancehealth

If you're looking for an exciting opportunity as a Customer Care Representative I-Bilingual with Elevance Health in sunny Miami, this might just be the perfect fit for you! In this role, you'll join a team that's dedicated to simplifying healthcare and enhancing lives. You'll be the friendly voice responding to our customers' questions about insurance benefits, provider contracts, and eligibility, helping them navigate their healthcare journey. Your day will revolve around problem-solving and providing efficient solutions, whether over the phone or through written correspondence. You'll also be responsible for documenting inquiries and outcomes so we can continuously improve our services. While you’ll receive thorough training to get you started, we expect you to bring your keen insight and proactive approach to customer interaction. A critical component of your role will be engaging with both internal and external customers to ensure their needs are met promptly. To thrive in this position, having bilingual skills, particularly in Spanish, will be essential as you connect with a diverse clientele. The role is designed as a remote opportunity, giving you flexibility, but you may occasionally need to visit our Miami office. This position is more than just a job; it’s a chance to be part of a Fortune 25 company that values personal and professional growth and believes in making a true difference in people's lives. Join us at Elevance Health where your impact matters!

Frequently Asked Questions (FAQs) for Customer Care Representative I-Bilingual Role at elevancehealth
What responsibilities does the Customer Care Representative I-Bilingual at Elevance Health have?

As a Customer Care Representative I-Bilingual at Elevance Health, your primary responsibilities include responding to customer inquiries regarding insurance benefits, provider contracts, eligibility, and claims, both via telephone and written correspondence. You will analyze customer problems, offer solutions, and document all interactions in our systems to track results and improve service. You will also work collaboratively with other departments to ensure excellent customer service.

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What qualifications are required for the Customer Care Representative I-Bilingual position at Elevance Health?

To qualify for the Customer Care Representative I-Bilingual position at Elevance Health, you need a high school diploma or GED and experience in a customer service environment. Fluency in Spanish is essential, with the ability to pass a language assessment. An understanding of insurance benefits and basic technical skills are also beneficial for success in this role.

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Is prior experience in customer service necessary for the Customer Care Representative I-Bilingual role at Elevance Health?

Yes, prior experience in an automated customer service environment is preferred for the Customer Care Representative I-Bilingual role at Elevance Health. This experience equips you with the necessary skills to handle various customer inquiries effectively and enhance their overall experience with our services.

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What kind of training can a new Customer Care Representative I-Bilingual at Elevance Health expect?

New Customer Care Representatives I-Bilingual at Elevance Health can expect comprehensive training to help them understand our services and processes. This includes learning about insurance benefits, customer interaction protocols, data documentation procedures, and effective communication techniques to ensure they are equipped to assist customers from day one.

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What is the work environment like for a Customer Care Representative I-Bilingual at Elevance Health?

The work environment for a Customer Care Representative I-Bilingual at Elevance Health is primarily remote, allowing you the flexibility to work from home. However, you may be required to visit the Miami office occasionally for meetings or training sessions. Elevance Health fosters a culture of teamwork and collaboration, where you can connect with colleagues and contribute to a supportive work atmosphere.

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Common Interview Questions for Customer Care Representative I-Bilingual
Can you describe your experience in handling customer inquiries?

When answering this question, highlight specific experiences where you've addressed customer concerns effectively. Discuss your approach to problem-solving and emphasize how you prioritize customer satisfaction.

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What strategies would you employ to ensure effective communication with customers?

To effectively communicate with customers, I would actively listen to their concerns, ask clarifying questions, and use simple language to explain solutions. Building a rapport is crucial, as it helps establish trust and encourages open dialogue.

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How do you manage stress during high-pressure situations?

Managing stress is crucial in a customer service role. I remain calm, prioritize my tasks, and focus on solutions rather than problems. Sharing my workload with teammates also helps minimize stress.

Join Rise to see the full answer
Describe a time when you turned a dissatisfied customer into a satisfied one.

Use the STAR method (Situation, Task, Action, Result) to structure your answer, focusing on a particular incident where your intervention improved a customer's experience and led to positive feedback.

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What do you know about Elevance Health and our services?

Research Elevance Health’s mission and services beforehand. In your answer, discuss their dedication to improving healthcare and how you align with their goals and values.

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How would you handle a situation where you do not know the answer to a customer's question?

If I do not know the answer, I would assure the customer that I will find the information for them. I would then either search for it in our systems or escalate the query to a knowledgeable colleague.

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What role does empathy play in customer service?

Empathy is crucial in customer service as it allows you to understand and relate to a customer's feelings, making them feel valued. It helps in addressing their concerns more tailoredly and can lead to better resolution outcomes.

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How do you document customer interactions, and why is it important?

Documenting customer interactions ensures that all information is captured accurately for future reference. It helps maintain continuity in service, enables tracking of issues, and assists in improving overall service quality.

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How would you ensure that you stay updated with product and service changes?

I would actively participate in training sessions, read updates, and collaborate with peers. Utilizing company resources and engaging with managers for feedback will further enhance my knowledge of product changes.

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What makes you a good candidate for the Customer Care Representative I-Bilingual position at Elevance Health?

I believe my passion for helping others, combined with my bilingual skills and experience in customer service, makes me a strong candidate. I am committed to delivering quality service and aligning my values with those of Elevance Health.

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EMPLOYMENT TYPE
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DATE POSTED
April 13, 2025

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