Customer Service Representative - Las Vegas, NV (504239)
UnitedHealth Group - Las Vegas, NV

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Primary Responsibilities:
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

UnitedHealth Group

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.

About this company
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier...