Customer Service Representative- TPA -Must be located in Pittsburgh or Surr at UPMC

Pittsburgh, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

20 May, 26

Salary

20.7

Posted On

19 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Phone-Based Role, Benefit Interpretation, Problem Solving, Documentation, System Navigation, Outbound Calling, Policy Updates, Compassionate Service, Typing, Writing, Decision Making, Microsoft Office, Excel, Analytical Skills, Organizational Skills

Industry

Hospitals and Health Care

Description

Are you passionate about helping others and making a difference every day? Join our award-winning Member Services Team as a Health Care Customer Service Associate, where you’ll be the voice of the UPMC Health Plan and the University of Pittsburgh Benefit’s Department —supporting members with their benefit questions and providing top-tier service over the phone. This is a phone-based role where you'll be on calls throughout your shift, helping members understand the benefits offered, including health insurance, education benefits, retirement, life insurance, etc What You’ll Do: Answer incoming calls and emails from current and prospective employees, students and retirees. Complete different reporting and audits as needed Help members understand the benefits offered Solve problems quickly and accurately to avoid repeat calls Document all interactions in our system Navigate multiple tools while staying focused and responsive Make outbound calls to follow up or provide updates Stay up-to-date on policies and system changes Deliver compassionate, clear, and professional service every time What You Need to Know: Pay: $19.10–$20.70/hour Schedule: Must be available to work- day, evening and rotating shifts Hours of Operation: Monday-Friday, 8:30 AM –5:00 PM Location: Must live within 90 miles of Pittsburgh or Erie Work Environment: Remote work available after training; in-office options also offered Training: Paid, comprehensive on-the-job training provided Growth: Full benefits and a clear path for career advancement Internet Requirements for Remote Work: Wired connection (Ethernet only) Minimum 20 Mbps download / 5 Mbps upload No satellite, hotspot, or DSL connections allowed Speed test required upon offer acceptance If you’re ready to bring your customer service skills to a team that values excellence, apply today and help us make a difference in the lives of our members! High school diploma or equivalent required. College degree preferred. Minimum of 2 years of customer service and/or call center experience. Proficient in typing and writing skills required. Ability to make independent decisions required. Knowledge of Microsoft Office and Excel spreadsheet program preferred. Complex analytical skills necessary to evaluate customer inquiries. Demonstrates good organizational skills. A desire to help others and portray empathy in all situations. Ability to learn complex health plan information. Demonstrate flexibility and motivation to learn & grow in the position. Flexibility in work schedule. Licensure, Certifications, and Clearances: Act 34 with renewal UPMC is an Equal Opportunity Employer/Disability/Veteran

Responsibilities

The representative will serve as the voice of the UPMC Health Plan and the University of Pittsburgh Benefit’s Department, handling incoming calls and emails from employees and retirees regarding benefit questions. Key duties include understanding offered benefits, solving problems accurately, documenting interactions, and staying current on policies.