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Optum Customer Service Representative Jobs in Puerto Rico

Telemedik

PR · On-site

$13 - $17.50/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Health Services Representative! Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer ...

Telemedik

PR · On-site

$13 - $17.50/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Health Services Representative! Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer ...

Adecco

PR

$13 - $13.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Customer Service Representative, you will play a vital role in supporting members and providers by delivering clear, compassionate, and efficient service in a dynamic call center environment.

Telemedik

PR · On-site

$16 - $21.75/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Health Services Representative! Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer ...

Telemedik

PR · On-site

$13 - $17.50/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Health Services Representative! Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer ...

Telemedik

PR · On-site

$16 - $21.75/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Health Services Representative! Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer ...

Telemedik

PR · On-site

$16 - $21.75/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Health Services Representative! Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer ...

NexaMotion Group

PR · On-site

$13.50 - $18.50/hr

The Customer Service Representative supports customers by providing helpful information, answering questions, and responding to customers. They're the front line of support for clients and customers ...

BCForward

Customer Service Representative

Mayaguez, PR · On-site

$12 - $13/hr

  • Medical

  • Dental

  • Vision

  • PTO

Title: Customer Service Representative Location: San Juan PR/Mayaguez PR Duration: Contract to Hire Description: Responsible for responding to customer questions via telephone and written ...

Insight Communications

PR · On-site

$27K - $29K/yr

Monday to Sunday, rotating shifts Extent No extent General purpose The customer service representative will act as a link, providing information about the services or product and will channel any ...

Insight Communications

PR · On-site

$27K - $29K/yr

Monday to Sunday, rotating shifts Extent No extent General purpose The customer service representative will act as a link, providing information about the services or product and will channel any ...

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$16 - $21.75/hr

Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our ...

Firstsource

Customer Service Representative

Mayaguez, PR · On-site

$16 - $21.75/hr

Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our ...

Telemedik

PR · On-site

$15.50 - $19.50/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Healthcare Customer Service Representative! Are you passionate about helping people and delivering exceptional customer service? We are looking for dedicated professionals to join ...

Telemedik

PR · On-site

$12.50 - $15.75/hr

  • Medical

  • Retirement

  • PTO

Join Our Team as a Healthcare Customer Service Representative! Are you passionate about helping people and delivering exceptional customer service? We are looking for dedicated professionals to join ...

Bunzl

Customer Service Representative - Distribution

San Juan, PR · On-site

$15.75 - $21.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a Customer Service Representative (CSR ), you'll support business customer accounts by handling a high volume of customer walk-ins, inbound calls, emails, and order inquiries. You'll work closely ...

Bunzl Distribution Inc.

PR

$10.75 - $14.75/hr

As a Customer Service Representative (CSR ), you'll support business customer accounts by handling a high volume of customer walk-ins, inbound calls, emails, and order inquiries. You'll work closely ...

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Optum Customer Service Representative information

What does an Optum Customer Service Representative do?

An Optum Customer Service Representative assists customers with inquiries related to health insurance plans, benefits, claims, billing, and coverage options. They communicate with customers via phone, email, or chat to resolve issues, provide information, and ensure customer satisfaction. Representatives are trained to handle sensitive health information securely and must maintain a high level of professionalism and empathy while assisting members. They may also collaborate with other departments to address complex questions or concerns.

What are the key skills and qualifications needed to thrive as an Optum Customer Service Representative, and why are they important?

To thrive as an Optum Customer Service Representative, you generally need strong communication skills, problem-solving abilities, and at least a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, call center phone systems, and basic computer applications is typically required. Outstanding interpersonal skills, patience, and the ability to remain calm under pressure help individuals excel in this role. These skills are crucial for delivering accurate information, resolving customer issues efficiently, and ensuring a positive experience for Optum members.

What are some common challenges faced by Optum Customer Service Representatives and how can they be managed?

Optum Customer Service Representatives frequently encounter complex inquiries related to healthcare benefits, claims, and insurance policies. Navigating these topics requires strong problem-solving skills and the ability to communicate clearly with members who may be stressed or confused. Representatives must also adapt to evolving systems and policies while meeting performance metrics such as call resolution time and customer satisfaction. Managing these challenges involves continuous learning, leveraging available resources, and collaborating closely with team leads and subject matter experts to provide accurate assistance.

What are popular job titles related to Optum Customer Service Representative jobs in Puerto Rico?

For Optum Customer Service Representative jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Optum Customer Service Representative jobs in Puerto Rico look for?

The top searched job categories for Optum Customer Service Representative jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Optum Customer Service Representative jobs?

Cities in Puerto Rico with the most Optum Customer Service Representative job openings:

Optum Customer Service Representative jobs near you
Infographic showing various Optum Customer Service Representative job openings in Puerto Rico as of August 2026, with employment types broken down into 84% Full Time, and 16% Temporary. Highlights an 100% In-person job distribution.

Customer Service Representative

Telemedik

PR • On-site

$13 - $17.50/hr

Full-time

Medical, Retirement, PTO

Re-posted 3 days ago

Job description

Join Our Team as a Health Services Representative!

Are you passionate about helping others and providing exceptional service? We are looking for dedicated professionals to join our team as Customer Service Representatives, playing a key role in the experience of our members and clients.

In this position, you will serve as the first point of contact, providing phone support, addressing members’ needs on the first interaction whenever possible, and ensuring a professional, empathetic, and efficient service experience.

Additionally, there are opportunities for development to support services for clients in the United States, allowing you to expand your professional experience in a dynamic and international environment.

Key Responsibilities

  • Answer member calls and provide clear information about their health plans.

  • Guide and educate members about coverages, benefits, and plan promotions (non-clinical topics).

  • Document inquiries, actions taken, and follow-ups, ensuring accuracy and compliance.

  • Escalate unresolved situations or complaints to supervisors or the appropriate departments.

  • Participate in outbound calls, Contact Center projects, and training programs.

  • Maintain confidentiality of information and comply with regulations such as HIPAA and internal policies.

Requirements

  • Minimum 1 year of Customer Service experience.

  • High school diploma required (college credits preferred).

  • Knowledge of computer applications and Microsoft Office.

  • Excellent verbal, written, and reading communication skills.

  • Bilingual (Spanish and English) preferred, especially for opportunities supporting services in the United States.

  • Strong customer service orientation, empathy, and proactive attitude.

  • Availability to work rotating shifts (Monday through Sunday, including weekends and holidays).

Benefits

  • Specialized training in customer service, regulations, and healthcare topics.

  • 24/7 Telemedicine service.

  • Free employee health and wellness programs.

  • Opportunities for professional growth and career development.

  • Paid leave.

  • Retirement plan.

  • The opportunity to positively impact the well-being of the population.

Location: On-site in Guaynabo or Mayaguez, Puerto Rico

Employment Type: Full-time or Part-time | Temporary

We are an Equal Employment Opportunity Employer (EEOC).