Customer Care Representative I – Bilingual

Elevance Health

. Respond to customer questions by telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims .

Posted 10/16/2026full-timeSan Juan • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong verbal and written communication skills while effectively managing customer inquiries and providing solutions. Proficient in utilizing digital tools for tracking and information gathering in a fast-paced environment.

Highest-signal resume keywords

Customer Service SkillsProblem-Solving AbilityAttention to DetailVerbal and Written Communication SkillsDigital Tools Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data AnalysisInformation ExtractionDatabase DocumentationMulti-TaskingBasic Training Completion

Soft Skills

EmpathyPersistenceCritical Thinking

Tools & Technologies

PC/Image StationComputerized Systems

Certifications & Qualifications

COVID-19 VaccinationInfluenza Vaccination

Industry Keywords

Insurance BenefitsProvider ContractsClaims ProcessingCustomer Relations

About the role

Key responsibilities & impact

Respond to customer questions by 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, changes, and inquiry outcomes in databases for tracking and analysis
Develop and maintain positive customer relations
Coordinate with company functions to handle customer requests and questions appropriately and promptly
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
Use computerized systems for tracking, information gathering, and troubleshooting
Seek, understand, and respond to internal and external customer needs and expectations
Complete required basic training and perform basic job functions with support on non-basic issues
Perform other duties as assigned

Requirements

What you’ll need

Successful completion of required basic training
Limited knowledge of company services, products, insurance benefits, provider contracts, and claims
Ability to handle calls, texts, facsimiles, and electronic queues while simultaneously taking notes and speaking to customers
Proficiency maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
Strong verbal and written communication skills in virtual and in-person interactions
Attention to detail, critical thinking, and problem-solving ability
Empathy and persistence to resolve caller issues completely
Comfort and proficiency with digital tools and platforms
Ability to work a structured schedule with occasional overtime or flexibility based on business needs
Ability to work from the office as necessary
For certain patient/member-facing roles, vaccination against COVID-19 and Influenza is required unless an acceptable explanation is provided
Must reside within a reasonable commuting distance of the posting location(s), unless accommodation is granted as required by law

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid work arrangement with virtual-work flexibility
Accommodation support for applicants who require it