Clever Care Health Plan · 1 day ago
Customer Service Representative (Bilingual Mandarin and Cantonese)
Arcadia, CA
Full-time
Hybrid
Entry Level
$20/hr - $23/hr
2+ years expClever Care Health Plan is one of Southern California’s fastest-growing Medicare Advantage plans, dedicated to making healthcare accessible for underserved communities. The Customer Service Representative will serve as the main point of contact for members, addressing their questions and concerns regarding benefits and services while ensuring member satisfaction through superior customer service.
Health Care
Responsibilities
Educates members, family, providers and caregivers regarding benefits and plan options
Accurately explains benefits and plan options in person, via email, fax, or telephonically
Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required
Participates in member calling projects as assigned by management to support the overall Clever Care goal of membership retention
Follows policies and procedures and job aids in order to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following proper departmental procedures; actively participates in departmental staff meetings and training sessions
Follows all appropriate Federal and State regulatory requirements and guidelines applicable to Clever Care Health Plan operations, as documented I company policies and procedures. Follows all HIPAA requirements
Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals
Ability to work in an environment where continuous coaching and feedback is the standard practice
Other duties as assigned
Qualification
Required
High School Diploma or equivalent required
Two (2) years Customer Service experience preferably in healthcare management and/or a call center setting
Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations
Bilingual in Cantonese, Mandarin, Vietnamese, Korean, Spanish, Thai, Khmer, Japanese may be required
Exceptional customer service skills, including verbal and written communication
Strong active listening skills
Ability to collaborate and be a team player
Must be a quick learner
Ability to remain calm and courteous when handling upset members and offering solutions to their problems and knowing when to escalate the call
Ability to listen, talk, and type at the same time
Proficiency with Microsoft Office (Word, Excel, Outlook)
Type 40 wpm
Must be willing and able to work some weekends from October-March
Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs
Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly
Preferred
Bachelor's Degree or equivalent work experience preferred
60 wpm preferred
Company
Clever Care Health Plan
Clever Care Health Plan is a healthcare company that provides health insurance for medicare services.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2021-11-01Series Unknown
Leadership Team
Karen Walker Johnson
Interim Chief Operations Officer
Khaliq Siddiq
Chief Medical Officer
Recent News
MedCity News
2025-10-30
Clever Care Health Plan
2025-08-29
Company data provided by crunchbase