ZipRecruiter

Log In

2

Remote Health Insurance Customer Service Jobs in Puerto Rico

Firstsource

Customer Service Representative

Mayaguez, PR · Remote

$15.50/hr

Remote- Job Type: Full-time Pay:Starting Rate $14.00 per hour Bilingual: $15.50 per hour About ... Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our ...

RelateCare

$11/hr

Our vision is to be the partner of choice for healthcare organizations in the delivery of patient ... Remote

RelateCare

$11/hr

Our vision is to be the partner of choice for healthcare organizations in the delivery of patient ... Remote

InsuraTec

Sales Representative (Remote)

Corozal, PR · Remote

InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Customer Support : Offer excellent support to resolve client inquiries and concerns. * Sales ...

InsuraTec

InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Customer Support : Offer excellent support to resolve client inquiries and concerns. * Sales ...

InsuraTec

Sales Representative (Remote)

Mayaguez, PR · Remote

InsuraTec is a leading provider in financial planning and insurance services. We're looking for ... Customer Support : Offer excellent support to resolve client inquiries and concerns. * Sales ...

next page

Showing results 1-20

All JobsHealth Insurance Customer Service JobsRemote Health Insurance Customer Service JobsRemote Health Insurance Customer Service Jobs in Puerto Rico

Remote Health Insurance Customer Service information

What is a remote health insurance customer service?

A Remote Health Insurance Customer Service job involves assisting customers with inquiries related to health insurance plans, coverage options, claims, and billing—all while working from home. Representatives communicate with customers via phone, email, or chat to provide guidance and resolve issues. This role requires strong communication skills, knowledge of health insurance policies, and the ability to handle customer concerns empathetically. Efficient problem-solving and familiarity with insurance regulations are also essential.

What are the typical daily responsibilities of a remote health insurance customer service?

In this role, your main duties will include answering incoming calls or messages from policyholders, helping them understand their coverage, claims status, and resolving billing or eligibility issues. You'll frequently use online systems to document inquiries, update account information, and escalate complex cases to specialized teams when needed. Collaboration often occurs virtually, with team meetings or coaching sessions to stay updated on policy changes and best practices. The work environment is generally structured yet remote, allowing you to manage tasks from home while meeting established performance metrics. This role provides valuable experience with insurance operations and customer relations, paving the way for potential growth in healthcare administration or supervisory positions.

What are the key skills and qualifications needed to thrive in remote health insurance customer service, and why are they important?

To thrive as a Remote Health Insurance Customer Service representative, you need a solid understanding of health insurance products, excellent communication abilities, and experience in customer service. Familiarity with CRM systems, call center software, and sometimes HIPAA certification are typically valued. Strong problem-solving skills, patience, and the ability to remain professional and empathetic during challenging interactions help set top performers apart. These skills are essential for accurately assisting policyholders, resolving concerns efficiently, and providing a positive customer experience in a remote and regulated environment.

What job categories do people searching Remote Health Insurance Customer Service jobs in Puerto Rico look for?

The top searched job categories for Remote Health Insurance Customer Service jobs in Puerto Rico are:

Remote Health Insurance Customer Service jobs near you
Infographic showing various Remote Health Insurance Customer Service job openings in Puerto Rico as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Customer Service Representative

Firstsource

Mayaguez, PR • Remote

$15.50/hr

Full-time

Posted 26 days ago

Firstsource rating

6.5

Company rating: 6.5 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

28th of 72 rated call and contact centers

Job description

Work Location: Remote-

Job Type: Full-time

Pay:Starting Rate $14.00 per hour

Bilingual: $15.50 per hour

About Firstsource 

Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.

We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our 'rightshore' delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.

Our clientele includes Fortune 500 and FTSE 100 companies.

Job Description:

Conduct outbound calls and/or campaigns when directed.

Thoroughly document all customer transactions in host system.

Adhere to scheduled shifts to ensure optimal phone coverage.

Ensure compliance to all regulatory guidelines.

Safeguard and secure all PHI from misuse in strict accordance with Information Security Policies and Procedures.

Follow safety guidelines outlined by Illness and Injury Prevention Program.

Specific qualifications for this medical role include:

High School diploma or GED
1 Year Call Center Exp

Six months healthcare claims experience.

Ability to read and interpret general business correspondence, procedure manuals, and specific plan documents
Basic mathematical skills
Intermediate typing skillsOther requirements include:Sitting for long periods of timeFlexibility of schedule especially when overtime is in placePrivate/secured room without distractionAbility to multitaskSpecific to processing: Able to look for data entry differences
Following written directions (emails, SOP documents)
Self-motivation
Ability to prioritize work
Thinking outside the box and making judgement calls
Ability to adapt to change

 

What Firstsource employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply