Business Ops Coordinator (Former Employee) – Wausau, WI – February 8, 2016
Lots of variety with the work that was performed daily. Opportunity to grow and learn new things. Lots of friendly co-workers. Sometimes the days were really long during open enrollment, but everyone was there to support each other.
Customer Service Associate (Former Employee) – Pittsburgh, PA – February 6, 2016
Supervisors send email of job we will complete per day. Some days the leaders were not clear on which jobs we were to do. They had multiple new hire training's which took away the time to assist the current staff which caused errors in work. I liked co-workers.
Provider Resolution Specialist and Team Lead (Current Employee) – Miami, FL – February 4, 2016
Working within this fast-paced call center is challenging. Meeting service levels is very important in this field. Meeting your metrics is even more important. With endless career opportunities I would rate this company as a good place to work.
Career advancement, good culture
Short breaks, basic health benefits, corporate atmosphere
Licensed Health Agent (Current Employee) – Richardson, TX – February 4, 2016
All staff are very friendly and encouraging. I learn something new each day, which I love.
Coaches have all started from the bottom, which lets all telephonic workers know that they understand how we feel when things get heavy. Not something you find a lot of in other companies upper-level management.
Clinical Case Manager (Current Employee) – Austin, TX – February 2, 2016
The caseloads for the Clinical Care managers are extremely high, and there is a big problem with employee retention due to this. The benefits are also pretty bad; a very large deductable for both medical and pharmacy, so expect to pay out of pocket for everything.
Flexible work schedule, nice coworkers
understaffed, caseloads too high, very poor benefit package
Associate Network Contractor (Former Employee) – Cypress, CA – January 27, 2016
Responsible for developing the provider network (physicians, hospitals, pharmacies, ancillary groups & facilities, etc.) yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product for customers and business partners
The project is mainly on routing and adjudication of Claims from our trading partner to HIPAA gateway. According to the Legacy and FACETS system the claims will be routed to different system based on the Business requirement. The Validation is done on FACETS and Different legacy routing scenario and how is the stored on FACETS accumulator tables.
Claims Processor (Current Employee) – USA – January 25, 2016
Okay job so long as you don't expect the opportunity for advancement within the company. Horrible, horrible, HORRIBLE compensation. Every year, we took a survey and every year the compensation would be a big negative but they gloss over it as though they don't care (And they probably don't!) Health benefits were also lousy, with a high deductible. Day to day job functions were okay but competent supervisors were never a guarantee! Good co-workers for the most part.
Generous PTO, stock options if you could afford to buy in
concierge (Former Employee) – Oldsmar, FL – January 25, 2016
A typical day within my office consists of arriving promptly to set up my work station, and within minutes of settling into my cubicle being informed of the latest scuttlebutt du jour - regardless if I wish to hear it or not. Once the shift has started, I field incessant, repetitive, and mundane phone calls, repeating the same information ad nauseum to people who've heard it 10,000 times before, yet still ask questions and become irate as if our processes are totally foreign to them. You are not allowed to place callers on hold, even if their issue requires brief research to be resolved. There is often NO break in between calls, and breaks are often cancelled depending on which way the wind blows.
Manager of Care Management (Current Employee) – Knoxville, TN – January 24, 2016
Fielding calls from care coordinators, assuring that members needs are met. Many deadlines are required to be met. Constantly used to having to shift priorities. Provide coaching with new and seasoned employees. Interviewing, hiring and onboarding new staff.
Flexibility in hours as long as job is done on time