Clever Care Health Plan Is Hiring A Customer Service Representative Bilingual

Customer Service Representative (Bilingual Korean) 🎉

Join a rapidly expanding healthcare organization dedicated to diverse communities, offering a meaningful career opportunity in customer service with competitive pay and growth potential.

Work Locations 🏢🌴

• Arcadia Office - Arcadia, CA 91007
• Huntington Beach Office - Huntington Beach, CA 92647

Overview 📝

Salary Range: $20.00 - $23.00
Position Type: Full Time

Job Description 💼

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? 🤝

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans blend Western medicine with holistic Eastern practices, providing benefits that resonate with our members' culture and values.

Why Join Us? 🚀

We are on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a dynamic, innovative organization that celebrates diversity.

Job Summary 🎯

Member Advocates serve as the main point of contact, interfacing with members, prospective members, providers, brokers, and vendors. They assist with questions regarding benefits, eligibility, referrals, claims, and other plan services, ensuring member satisfaction with excellent customer service and professionalism.

Functions & Responsibilities ⚙️

• Educate members, families, providers, and caregivers about benefits and plan options.
• Explain benefits clearly in person, via email, fax, or phone.
• Follow-up with members to clarify issues, identify causes, and explain solutions. Escalate issues as needed.
• Participate in member calling projects to support membership retention.
• Adhere to policies, procedures, and job aids for efficient operations; suggest improvements when appropriate.
• Comply with all federal and state regulations, including HIPAA guidelines.
• Document transactions accurately in the computer system by completing forms and summarizing actions.
• Maintain a professional attitude and remain receptive to coaching and feedback.
• Perform additional duties as assigned.

Qualifications ✅

Education & Experience 📚

• High School Diploma or equivalent required.
• Bachelor's Degree or equivalent experience preferred.
• At least 2 years of customer service experience, preferably in healthcare or call center settings.

Skills 🛠️

• Knowledge of CMS regulations.
• Bilingual proficiency: Korean required, additional languages like Cantonese, Mandarin, Vietnamese, Spanish, Thai, Khmer, Japanese a plus.
• Excellent verbal and written communication skills.
• Strong active listening and collaboration skills.
• Fast learner with the ability to handle upset members courteously.
• Strong multitasking ability—listening, talking, and typing simultaneously.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook).
• Typing speed of 40 WPM; 60 WPM preferred.

Additional Requirements 🎯

• Willingness to work some weekends from October to March.

Compensation & Environment 💰🌎

Wage Range: $20.00 to $23.00 per hour

Physical & Working Environment

• Ability to travel as needed.
• Operate a keyboard, mouse, and phone; perform repetitive motions.
• Sit for extended periods, with occasional standing, reaching, bending, and lifting up to 15 lbs.
• Work predominantly in an office and/or remote setting with frequent staff and public contact.
• May include irregular hours based on business needs.

Equal Opportunity Employment 🌍✊

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action employer. We consider all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, age, disability, veteran status, or any other protected class. A background check is required.