Telephonically assist members and providers with all levels of problem solving, inquiries, provider information and general insurance service
Assist in enrollment efforts
Answer incoming calls regarding benefits, claims, eligibility and other inquiries as it relates to health insurance and acts as Member Advocate
Meet individual and quality standards to achieve departmental performance goals
Thoroughly review and investigate claim problems and routes appropriately for resolution
Research issues and use judgment for obtaining only the relevant information
Prioritizes inbox and workload to ensure closure rate within department standards
Meet and maintain tardiness and attendance standards set by company policies
Handle all calls courteously, politely and professionally
Attend in-services/meetings and maintain resource materials
Complete career and self-improvement classes; namely Defusing Anger, Dealing with/ Difficult People, Dealing with Difficult Co-Workers, and Self-Esteem or other classes as determined by Supervisor/Manager
Other duties as assigned
High school Diploma/GED required
1+ year of Customer Service or ACD Call Center experience is required; 2+ years experience is preferred
Familiarity of Microsoft Office (Word, Excel & Outlook) is required
Ability to type 35+ wpm is required
Experience in a healthcare insurance or medical field preferred
Knowledge of HMO/PPO/Medicare plans/benefits and medical terminology preferred
Bilingual (English/Spanish) is a plus
Employer & Individual
is part of the family of companies that make
one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare Employer & Individual, what you do matters. It's that simple and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
UnitedHealth Group - 2 years ago
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