Customer Service Representative – French Speaking in Miami, Florida

Job Description

Job Overview: The role requires communication between medical providers and our client as well as members. The customer service rep is to coordinate treatment and provide authorizations/issue GOPs for members in Latin America, Europe, etc. Respond to inquiries pertaining to authorizations and documentation requirements.

Responsibilities and Duties:

Coordinate and determine approvals, eligibility and inform the medical providers as well as issue GOPs according to policy and client authorizations

Tracking and follow up of all cases in Latin America ensuring appropriate follow up with the medical providers

Provide guidance, support and advice to international members seeking medical treatments or procedures

Responds to routine phone inquiries and written correspondence related to authorizations and claims status

Screens and routes complex cases to the appropriate manager

Navigates multiple systems to obtain necessary data to issue GOPs

Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly

Able to be a part of a on-call/duties rotating schedule (after normal office hours and weekends)

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

   

To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Skills and Requirements

Bilingual French and English speaker

2+ years of experience in customer service, health insurance field a plus

High school diploma/GED required

Strong analytical, detail-oriented and accuracy skills are required

Ability to manage time effectively, set priorities, meet deadlines as well as adapt to change

Desire to work in a small entrepreneurial environment null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.