Customer Care Representative I – Bilingual

Elevance Health

. Complete required basic training and perform basic job functions with support from co-workers, specialists, and managers on non-basic issues .

Posted 11/5/2026full-timeMayagüez • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates strong customer service skills by effectively responding to inquiries and resolving issues while utilizing digital tools for efficient information management. Proficient in bilingual communication, particularly in Spanish, to enhance customer interactions and support diverse client needs.

Highest-signal resume keywords

Bilingual (Spanish) SkillsCustomer Service ExperienceProblem-Solving SkillsStrong Verbal And Written CommunicationMulti-Tasking Ability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisInformation DocumentationAutomated Customer ServicePC/Image Station OperationDigital Tools Proficiency

Soft Skills

Attention To DetailEmpathyCritical ThinkingPersistence

Tools & Technologies

Computerized SystemsTracking Systems

Certifications & Qualifications

High School Diploma Or EquivalentValidated Language Test/Assessment

Industry Keywords

Insurance BenefitsProvider ContractsClaims ProcessingCustomer Relations

About the role

Key responsibilities & impact

Complete required basic training and perform basic job functions with support from co-workers, specialists, and managers on non-basic issues
Respond to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims
Analyze problems and provide information and solutions
Operate a PC/image station to obtain and extract information; document information, activities, and changes in the database
Thoroughly document inquiry outcomes for accurate tracking and analysis
Develop and maintain positive customer relations and coordinate with various company functions to handle customer requests and questions appropriately and timely
Research and analyze data to address operational challenges and customer service issues
Provide external and internal customers with requested information
Receive and place routine follow-up telephone calls and emails to answer customer questions under immediate supervision
Use computerized systems for tracking, information gathering, and troubleshooting
Maintain limited knowledge of company services, products, insurance benefits, provider contracts, and claims
Seek, understand, and respond to internal and external customer needs and expectations
Handle calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking to customers
Perform other duties as assigned

Requirements

What you’ll need

HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background
Must pass the appropriate pre-employment test battery
Bilingual (Spanish) or multi-language skills required
Must be able to pass a validated language test/assessment
Ability to multi-task, including handling calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking to customers
Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
Strong verbal and written communication skills, both with virtual and in-person interactions
Attentive to details, critical thinker, and a problem-solver
Demonstrates empathy and persistence to resolve caller issues completely
Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts
Structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary
Candidates must reside within a commuting distance from a posting location unless accommodation is granted as required by law
Candidates may need to report into a local office periodically
New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs (unless covered by a collective bargaining agreement)
medical benefits
dental benefits
vision benefits
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources