Customer Service Representative, Oscar Health

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

Desirable

• 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
• You will report to the Concierge Operations Manager
• 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