Customer Service Representative – Workers Compensation (Spanish)

About the role

We are looking for a Customer Service Representative who will act as a specialist in workers‑compensation insurance claims. The role is hybrid, combining on‑site and remote work, and operates on a day‑shift schedule. Fluency in Spanish is essential to provide clear, empathetic communication with claimants and stakeholders.

Key responsibilities

• Manage end‑to‑end workers‑compensation claim processing, capturing detailed incident information and ensuring accurate documentation.
• Provide prompt, empathetic service to claimants, employers, medical providers and internal teams, reducing resolution times.
• Use digital tools and secure systems to coordinate claim activities across on‑site and remote settings while protecting confidential data.
• Verify eligibility, coverage and required documentation, minimizing errors and supporting compliant decisions.
• Maintain comprehensive claim notes in the claims management system to create clear audit trails.
• Communicate fluently in Spanish, both written and spoken, to break language barriers.
• Collaborate with medical professionals, legal contacts and employer representatives to share accurate claim updates.
• Identify and resolve routine claim issues, monitor milestones, and escalate complex cases when necessary.

Required profile

• Fluent in Spanish (written and spoken) with strong communication skills.
• Experience handling workers‑compensation or insurance claims.
• Ability to work independently in a hybrid environment and manage a day‑shift caseload.
• Attention to detail and commitment to compliance with relevant regulations.

Required skills

• Proficiency with claims management systems and digital collaboration tools.