Customer Care Representative I

1 month ago


Farmington, New Mexico, United States Elevance Health Full time
*Position Title:

  • Customer Care Representative - Bilingual (English/Spanish)

Location:

  • Remote (San Juan, PR)
  • A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans.
The Customer Care Representative 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.

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 HS diploma or equivalent
  • Previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.
  • Preferred Requirements
  • + Bilingual (Spanish/English) or multi-language skills preferred. Must be able to pass a validated language test/assessment.


  • Farmington, New Mexico, United States Abbott Laboratories Full time

    About AbbottAbbott is a global healthcare leader, creating breakthrough science to improve people's health. We're always looking towards the future, anticipating changes in medical science and technology.Working at AbbottAt Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You will...


  • Farmington, New Mexico, United States Pearson Full time

    Field Sales Representative in San Juan , Puerto Rico Job Brief:We're seeking a results-driven Sales Representative with excellent interpersonal skills.Your role will involve actively seeking out and engaging customer prospects.You'll provide complete and appropriate solutions to boost top-line revenue growth, customer acquisition levels, and...


  • Farmington, New Mexico, United States Pearson Full time

    *Job Brief: We're seeking a results-driven Sales Representative with excellent interpersonal skills. Your role will involve actively seeking out and engaging customer prospects. You'll provide complete and appropriate solutions to boost top-line revenue growth, customer acquisition levels, and profitability.Qualifications: + Strong interpersonal and...


  • Farmington, New Mexico, United States Walgreens Full time

    Job Description:Job ObjectivesModels and delivers a distinctive and delightful customer experience.Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service.In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy....


  • Farmington, New Mexico, United States Veterans Health Administration Full time

    VA offers a comprehensive total rewards package. VHA Physician Total Rewards.Pay: Competitive salary, annual performance bonus, regular salary increasesPaid Time Off: 50-55 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year and possible 5 day paid absence for CME)Retirement: Traditional federal...

  • Cook I

    3 weeks ago


    Farmington, New Mexico, United States Marriott International Full time

    POSITION SUMMARYPrepare special meals or substitute items.Regulate temperature of ovens, broilers, grills, and roasters.Pull food from freezer storage to thaw in the refrigerator.Ensure proper portion, arrangement, and food garnish.Maintain food logs.Monitor the quality and quantity of food that is prepared.Communicate assistance needed during busy...


  • Farmington, New Mexico, United States Rent A Center Full time

    Ready to do your best work?Interested in a minimum starting hourly rate of $10.01 per hour- $12.26 per hour ?Why should I apply in just a few clicks?Paid Time Off and Sundays OffWe are ClosedFull-Time Employment and a Consistent ScheduleWeekly Pay (companywide)Award Winning Culture with the Opportunity to AdvanceGreat BenefitsMedicalDentalVisionLife...


  • Farmington, New Mexico, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having flexibility and time for all the things that are important to you.It's an opportunity to do something meaningful, each and every day.It's having support for your...


  • Farmington, New Mexico, United States Philips Full time

    *CT Business Leader This role leads the CT Business in North America, responsible for the achievement of both equipment and service sales targets, as well as overall performance in market.Your role: + Represent the CT global business unit in North America, and be the voice for NAM in the global BU Lead the Sales Specialist team, Marketing team, and...


  • Farmington, New Mexico, United States ASM Global Full time

    Job Title:Premium Services CoordinatorDepartment:Premium Sales & PartnershipsReports To:Partnership Sales & Services ManagerFLSA Status:Non- ExemptLocation:Coca Cola Music HallOverview:This position is in charge of providing our Premium clients & sponsors with an exceptional service. The Premium Services Coordinator is responsible for making sure that...


  • Farmington, New Mexico, United States Edgewell Personal Care Brands LLC Full time

    Edgewell is a global team of over 6,000 visionaries, doers and makers. Our secret is people, and we have an inspiring and collaborative global force of them. Our portfolio of over 25 brands touches lives in more than 50 countries by making useful things joyful. Together, we reimagine good mornings and endless summers, strive for more sustainable ways to...

  • File Clerk

    2 months ago


    Farmington, New Mexico, United States Veterans Affairs Veterans Health Administration Full time

    Summary This position is located within the Health Administration Services, Health Information Services at the VA Caribbean Healthcare System (VACHS) in San Juan, Puerto Rico.Responsibilities THIS IS NOT A VIRTUAL POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATIONThe major duties include but are not...

  • Sales Associate III

    1 month ago


    Farmington, New Mexico, United States Tapestry Full time

    We believe that difference sparks brilliance, so we welcome people and ideas from everywhere to join us in stretching what's possible. At Tapestry, being true to yourself is core to who we are. When each of us brings our individuality to our collective ambition, our creativity is unleashed. This global house of brands – Coach, Kate Spade New York, Stuart...


  • Farmington, New Mexico, United States Veterans Health Administration Full time

    Total-Rewards-of-an-Allied-Health-VA-Career-Social Work: Work involves the exercise of mature professional judgement and the flexible use of a wide range of advanced practice skills. The selected Supervisory Social Worker will provide services in serious, complex and complicated cases, often referred by other workers and interdisciplinary team members....


  • Farmington, New Mexico, United States T Mobile Full time

    Be unstoppable with usT-Mobile is synonymous with innovation-and you could be part of the team that disrupted an entire industry We reinvented customer service, brought real 5G to the nation, and now we're shaping the future of technology in wireless and beyond.Our work is as exciting as it is rewarding, so consider the career opportunity below as your...

  • Enrollment Specialist

    1 month ago


    Farmington, New Mexico, United States Sharecare Inc Full time

    Job Summary: CareLinx is looking for an Enrollment Specialist to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and the Enrollment Specialist position is inbound call center focused to provide support and guidance to members and families who...

  • Inside Sales

    4 weeks ago


    Farmington, New Mexico, United States Sally Beauty Holdings Full time

    COSMOPROF SALES ASSOCIATE: By working at Cosmoprof, you would be part of the largest hair and beauty supplier in the world and we are on a mission to empower our customers to express themselves through hair - and we need passionate and talented people to make this happenThe Sales Associate/Beauty Advisor will focus on one primary objective - creating a...

  • Guest Service

    4 weeks ago


    Farmington, New Mexico, United States Schulte Companies Full time

    Schulte Hospitality Group is seeking a dynamic, service-oriented Guest Service Representative to join our team SHG is an organization whose success is rooted in its service culture. Our mission is to exude hospitality, be respectful and authentic, prioritize the needs of our internal and external stakeholders above our own, and continuously strive to make a...


  • Farmington, New Mexico, United States Sedgwick Full time

    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...


  • Farmington, New Mexico, United States Liberty Latin America Full time

    What's the role?As the Senior Manager, People Business Partner you will serve as a strategic partner to business leaders and guide the execution of HR programs to central teams in Latin America.Also, carry out responsibilities in the following functional areas:employee relations, performance management, onboarding, policy implementation,...