Dynamic Customer Service Representative – Healthcare & Member Experience Specialist – Remote, Florida – Join brighthush’s Innovative Health Insurance Team

About brighthush

brighthush is redefining the way people experience health care. Founded in 2012, we built a fully integrated technology platform that puts members at the heart of everything we do. Our mission is simple yet ambitious: to create a health insurance experience that feels like a trusted family doctor—transparent, proactive, and always available. By combining cutting‑edge data science, AI‑driven tools, and a culture of continuous improvement, we’re not just offering insurance; we’re delivering peace of mind.

As a rapidly growing company, brighthush is committed to fostering an inclusive environment where every employee can thrive. We celebrate diverse perspectives, encourage curiosity, and empower our teams to innovate. If you’re passionate about transforming health care and want to work in a place where your ideas matter, brighthush is the place for you.

Why This Role Matters

Our Member and Provider Services team is the frontline of brighthush’s promise to our members. As a Customer Service Representative, you’ll be the voice that turns complex processes into simple, friendly interactions. You’ll handle high‑volume inquiries, resolve issues efficiently, and help shape the future of our member experience.

Key Responsibilities

• Member Interaction & Support – Serve as the primary point of contact for members, brokers, providers, and vendors across multiple channels (phone, chat, email, and social media). Provide accurate, timely information and guide members through enrollment, claims, and benefits questions.
• Case Management – Manage an assigned caseload, ensuring that every interaction meets productivity, quality, and service delivery standards. Track progress, follow up on pending items, and maintain detailed records in our CRM.
• Process & Escalation Management – Identify recurring issues, document root causes, and collaborate with cross‑functional teams to implement process improvements. Escalate complex cases through established pathways and monitor resolution timelines.
• Data Accuracy & Compliance – Enter and verify member data with precision. Adhere to all regulatory requirements related to Personal Health Information (PHI) and maintain strict confidentiality.
• Team Collaboration – Build strong relationships with colleagues across Member Services, Operations, and Leadership. Share insights, provide feedback, and contribute to a culture of continuous learning.
• Continuous Improvement – Participate in process improvement projects, pilot new tools, and share best practices to enhance efficiency and member satisfaction.
• Compliance & Quality Assurance – Follow all operational, regulatory, and compliance standards. Participate in audits, quality reviews, and training sessions to stay current on policies.
• Additional Duties – Perform other related tasks as assigned, including occasional travel for team meetings and company events.

Essential Qualifications

• Minimum 1 year of experience in a high‑volume, customer‑focused environment.
• At least 6 months of experience in the healthcare or insurance industry.
• High school diploma or GED; additional education or certifications in customer service, healthcare, or data management are a plus.
• Strong verbal and written communication skills in English.
• Proficiency with Google Workspace or Microsoft Office (Word, Excel, PowerPoint).
• Ability to work independently in a remote setting while maintaining high productivity.
• Excellent problem‑solving skills and a data‑driven mindset.
• Commitment to delivering exceptional member experiences.

Preferred Qualifications & Bonus Skills

• Fluency in Spanish (reading, writing, speaking) – full professional proficiency.
• Experience with data entry, data validation, and maintaining accurate records.
• Advanced analytical skills, including the ability to interpret metrics and identify trends.
• Experience using customer service platforms (e.g., Zendesk, Freshdesk, or similar).
• Knowledge of HIPAA regulations and PHI handling best practices.
• Previous exposure to AI or automation tools in a customer service context.

What You’ll Gain

• Career Growth – brighthush offers clear career pathways. From Customer Service Representative to Senior Support Specialist, to Leadership roles in Member Experience or Operations, your growth is supported by mentorship, training, and internal mobility.
• Learning & Development – Access to a robust learning platform, including courses on healthcare compliance, data analytics, and soft skills. Attend workshops, webinars, and conferences to stay ahead of industry trends.
• Impactful Work – Your daily interactions directly influence member satisfaction and the overall success of brighthush’s mission. You’ll see the tangible results of your contributions in real‑time metrics and member feedback.
• Remote Flexibility – Work from the comfort of your home office in Florida. We provide a stipend for home‑office setup and a flexible schedule that respects work‑life balance.
• Inclusive Culture – Join a diverse team that values authenticity, collaboration, and continuous improvement. We celebrate differences and encourage every voice to be heard.

Compensation & Benefits

• Competitive Pay – $19.00–$21.00 per hour, with potential for performance‑based increases.
• Monthly Vacation Accrual – 15 days per year, accrued monthly.
• Health & Wellness – Comprehensive medical, dental, and vision plans. Paid wellness reimbursements and access to mental health resources.
• Paid Time Off – 11 paid holidays, paid sick leave, paid parental leave, and paid wellness days.
• Retirement & Financial Security – 401(k) plan with company match, life and disability insurance.
• Additional Perks – Flexible work hours, remote‑first culture, professional development budget, and team‑building events.

Our Commitment to You

At brighthush, we believe that a great workplace starts with a great culture. We’re dedicated to creating an environment where you can be your authentic self, grow professionally, and make a real difference in people’s lives. We value diversity, equity, and inclusion, and we’re proud to be an Equal Opportunity Employer.

How to Apply

Ready to join a team that’s changing the face of health care? Submit your application through our careers portal or send your résumé and cover letter to [email protected]. We look forward to learning how your skills and passion align with our mission.

Additional Information

We use AI responsibly in our hiring process, ensuring fairness and transparency. If you require reasonable accommodations during the application process, please contact our Benefits Team at [email protected]. For California residents, please review our Privacy Policy for details on data collection and usage.

Join brighthush Today

Become part of a forward‑thinking health insurance company that values innovation, empathy, and community. As a Customer Service Representative, you’ll play a pivotal role in delivering the seamless, member‑centric experience that sets brighthush apart. Apply now and help us build a healthier tomorrow—one conversation at a time.