Customer Service Representative- Must be located in Pittsburgh or Surrounding Area

Position Overview

Become a Health Care Customer Service Associate at UPMC Health Plan! Are you passionate about helping others and making a difference every day? Join our award-winning Member Services Team as the voice of UPMC Health Plan, supporting members with their health insurance questions and providing top-tier service over the phone.

This phone-based role involves handling calls throughout your shift to help members understand their coverage, resolve issues, and navigate their benefits confidently.

Key Responsibilities

• Answer incoming calls, emails, and chats from members and providers
• Help members understand their health plan, claims, and benefits
• 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 health plan policies and system changes
• Deliver compassionate, clear, and professional service

Required Qualifications

• High school diploma or equivalent required
• Minimum of 2 years of customer service and/or call center experience
• Proficient in typing and writing skills
• Ability to make independent decisions
• 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
• Demonstrates flexibility and motivation to learn and grow
• Flexibility in work schedule
• Licensure, Certifications, and Clearances: Act 34 with renewal

Preferred Qualifications

• College degree preferred
• Knowledge of Microsoft Office and Excel spreadsheet program preferred

Benefits & Perks

• Compensation: $19.10–$20.70/hour
• Must be available for day, evening, rotating, and weekend shifts
• Hours of Operation: 7 days a week, 8:00 AM – 8:00 PM
• Location: Must live within 90 miles of Pittsburgh or Erie
• Work Environment: Remote work available after training; in-office options offered
• Paid, comprehensive on-the-job training provided
• Career growth with full benefits and a clear path for advancement
• Internet Requirements for Remote Work: Wired connection (Ethernet only) with minimum 20 Mbps download / 5 Mbps upload; speed test required upon offer acceptance

UPMC is an Equal Opportunity Employer/Disability/Veteran.