Overview
HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.
Reporting to the Customer Service Manager, the Customer Service Associate will provide exceptional customer service to the UST customers via inbound Call Center Operations. The service center will be open from 8am-6pm CST USA and will occur related schedules.
Duties/Responsibilities:
Receive and respond to inbound phone calls for customer assistance
Respond to outbound phone call requests
Document all calls in ticketing and tracking systems
Respond to customer inquiries and provide data to customers within a required time frame




Act as liaison between claims department and providers
Research customer claims in the primary payor systems
Ensure highest level of customer service on every call
Perform other duties as assigned or necessary
Required Skills/Abilities
High school degree required; Bachelor’s degree preferred
2-3+ years of relevant professional experience in Healthcare claims operations or 2-3+ years of relevant experience in a Call Center environment
Previous Health Care Call Center/Customer Service Experience.
Must be able to work with minimal supervision.
Maintain a full comprehensive understanding of the covered benefits, coding and reimbursement policies and contracts.
Excellent verbal and written communication skills.
Attention to detail and problem-solving skills
Proficiency with MS Office applications, especially Word and Excel.
Overall Experience level:
Some experience in customer service setting preferred
Spanish speaking and written lang

📌 Call Center Agent II (México)
🏢 HealthEdge
📍 México