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Remote Health Insurance Customer Service Jobs in Puerto Rico

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Remote Health Insurance Customer Service information

What are the key skills and qualifications needed to thrive in the Remote Health Insurance Customer Service position, 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 is a Remote Health Insurance Customer Service job?

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 typical daily responsibilities for someone in a Remote Health Insurance Customer Service role?

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 popular job titles related to Remote Health Insurance Customer Service jobs in Puerto Rico? For Remote Health Insurance Customer Service jobs in Puerto Rico, the most frequently searched job titles are:
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:
What cities in Puerto Rico are hiring for Remote Health Insurance Customer Service jobs? Cities in Puerto Rico with the most Remote Health Insurance Customer Service job openings:
Remote Health Insurance Customer Service jobs near you
Infographic showing various Remote Health Insurance Customer Service job openings in Puerto Rico as of June 2026, with employment types broken down into 89% Full Time, and 11% Temporary. Highlights an 100% Remote job distribution.

Associate, Remote Channels (Bilingual Customer Service Mortgage)

Oriental Financial Services LLC

Bayamon, PR • On-site, Remote

$13 - $18/hr

Full-time

Posted 9 days ago

Job description

Job Description Summary
Are you passionate about customer service? Join our Team, we have several Associate, Retail Channels (Call Center) opportunities to serve our customers while providing a best-in-class customer experience and building loyalty. You may work from our Contact Center in Minillas (Bayamon).
The Associate, Retail Channels (Call Center), provides prompt, courteous, efficient, and best-in-class customer experience with precision and accuracy adhering to existing, operational, and security practices and procedures established.
Job Description
MAJOR DUTIES & RESPONSIBILITIES:
  • Delivers a unique customer experience utilizing effective questioning and active listening skills to anticipate and determine customer needs ensuring a high level of satisfaction in adherence to established policies and procedures.
  • Educate customers on digital channel solutions and self-service applications available for their accounts.
  • Receives and channels a variety of customer inquiries through our call center to provide service, support, and provide expert advice regarding our products including referring customers to other divisions.
  • Ensures and promotes that all transactions and inquiries are managed within our compliance and regulatory standards.
  • Promotes and provides information on the bank's products, services, and channels. Identifies cross-selling opportunities and refers the customer to the appropriate sales team member.
  • Receives, records, and channels claims, and inquiries from customers or potential customers and provides applicable guidance.
  • Documents calls and service inquiries in existing bank systems and applications.
  • Escalates and refers customer matters to next-level management or appropriate operational areas.
  • Consistently provides the customer with a high level of quality service.
  • Provides support and services to internal customers and colleagues as required.
  • Performs other duties as assigned.

EDUCATION AND EXPERIENCE:
  • Associate or Bachelor's degree in Business Administration or related field required.
  • One (1) year of customer service, call center, or sales experience required. Retail environment preferred. An equivalent combination of education and experience may be considered.
  • Excellent customer service, interpersonal, problem-solving, and documentation skills are required both verbal and written.
  • Requires good telephone etiquette, listening, and communication skills.
  • Understanding of banking or financial products and services preferred.
  • Detail oriented and able to manage multiple priorities required.
  • Computer proficiency is required. Knowledge of MS Office and other business applications required.
  • Bilingual (English and Spanish required).
  • Availability to work any day of the week based on the established hours of operations, plus flexibility to work overtime according to business needs is required.

WORK AUTHORIZATION & ELEGIBILITY:
  • Legally authorized to work in the US is required. This position is of indefinite duration and requires candidates to have permanent or ongoing work authorization.
  • Employee is responsible for maintaining eligible work authorization throughout his tenure with the organization.

Oriental is an Equal Opportunity Employer (EEO/Affirmative Action for Veterans/Workers with Disabilities)
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