About The Position

Are you passionate about helping others and making a difference every day? Join our award-winning Member Services Team as a Health Care Customer Service Associate, where you'll be the voice of UPMC Health Plan-supporting members with their health insurance questions and providing top-tier service over the phone. This is a phone-based role where you'll be on calls throughout your shift, helping members understand their coverage, resolve issues, and navigate their benefits with confidence. What You'll Do: Answer incoming calls, emails, and chats from members and providers Help members understand their health plan, claims, and benefits Solve problems quickly and accurately to avoid repeat calls Document all interactions in our system Navigate multiple tools while staying focused and responsive Make outbound calls to follow up or provide updates Stay up-to-date on health plan policies and system changes Deliver compassionate, clear, and professional service every time What You Need to Know: Pay: $19.10-$21.70/hour Schedule: Must be available to work- day, evening, rotating, and weekend shifts Hours of Operation: 7 days a week, 8:00 AM - 8:00 PM Location: Must live within 90 miles of Pittsburgh or Erie Work Environment: Remote work available after training; in-office options also offered Training: Paid, comprehensive on-the-job training provided Growth: Full benefits and a clear path for career advancement Internet Requirements for Remote Work: Wired connection (Ethernet only) Minimum 20 Mbps download / 5 Mbps upload No satellite, hotspot, or DSL connections allowed Speed test required upon offer acceptance If you're ready to bring your customer service skills to a team that values excellence, apply today and help us make a difference in the lives of our members!

Requirements

  • High school diploma or equivalent required. College degree preferred.
  • Minimum of 2 years of customer service and/or call center experience.
  • Must be fluent in Spanish and/or Nepali
  • Proficient in typing and writing skills required.
  • Ability to make independent decisions required.
  • Complex analytical skills necessary to evaluate customer inquiries.
  • Demonstrates good organizational skills.
  • A desire to help others and portray empathy in all situations.
  • Ability to learn complex health plan information.
  • Demonstrate flexibility and motivation to learn & grow in the position.
  • Flexibility in work schedule.

Nice To Haves

  • College degree preferred.
  • Knowledge of Microsoft Office and Excel spreadsheet program preferred.

Responsibilities

  • Answer incoming calls, emails, and chats from members and providers
  • Help members understand their health plan, claims, and benefits
  • Solve problems quickly and accurately to avoid repeat calls
  • Document all interactions in our system
  • Navigate multiple tools while staying focused and responsive
  • Make outbound calls to follow up or provide updates
  • Stay up-to-date on health plan policies and system changes
  • Deliver compassionate, clear, and professional service every time

Benefits

  • Full benefits
  • Paid training
  • Clear path for career advancement

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Industry

Hospitals

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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