About The Position

This role is a volume-driven customer service and production-based role that handles the daily activities involved in running a health insurance company including customer interactions and back office tasks following standard operating procedures.

Requirements

  • 1+ years of experience in a high-volume or customer-focused setting.
  • 6+ months of healthcare experience experience
  • High school diploma or GED

Nice To Haves

  • Strong quantitative or analytical skills focused on identifying or solving problems
  • Bilingual in Spanish - with strong skills in speaking, reading, and writing.
  • Experience manipulating and entering accurate data
  • Advanced Google Suite or Microsoft Office capabilities

Responsibilities

  • Develop a comprehensive understanding of the current processes, procedures, and tools associated with the Oscar business model.
  • Work with members, brokers, providers, and Oscar vendors through multiple channels according to assignment needs
  • Manage an assigned caseload, maintaining service delivery, productivity, and quality expectations
  • Form working relationships with all partners.
  • Support the leadership team by identifying issues through established escalation pathways
  • Monitor and track the health of all assigned work-in-progress issues.
  • Escalate and resolve issues to ensure appropriate turnaround times
  • Participate in process improvement projects
  • Comply with all operational, regulatory, and compliance standards relating to member Personal Health Information (PHI)
  • Compliance with all applicable laws and regulations
  • Other duties as assigned
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