Customer Service Representative - Must Be Located In Pittsburgh Or Surrounding Area - Remote Eligible

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 a Health Care Customer Service Associate, where you'll be the voice of UPMC Health Plan—supporting members with their health insurance questions and providing top-tier service over the phone. This is a phone-based role where you'll be on calls throughout your shift, helping members understand their coverage, resolve issues, and navigate their benefits with confidence.

What You'll Do:

• 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 every time

What You Need to Know:

Pay: $19.10–$20.70/hour

Schedule: Must be available to work 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 also offered

Training: Paid, comprehensive on-the-job training provided

Growth: Full benefits and a clear path for career advancement

Internet Requirements for Remote Work:

• Wired connection (Ethernet only)
• Minimum 20 Mbps download / 5 Mbps upload
• No satellite, hotspot, or DSL connections allowed
• Speed test required upon offer acceptance

If you're ready to bring your customer service skills to a team that values excellence, apply today and help us make a difference in the lives of our members!

High school diploma or equivalent required. College degree preferred.

Minimum of 2 years of customer service and/or call center experience.

Proficient in typing and writing skills required.

Ability to make independent decisions required.

Knowledge of Microsoft Office and Excel spreadsheet program preferred.

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.

Demonstrate flexibility and motivation to learn & grow in the position.

Flexibility in work schedule.

Licensure, Certifications, and Clearances:

• Act 34 with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran