Advantages of Joining Our Company:

Join our employer and experience the flexibility of telecommuting from anywhere in the U.S. while taking on challenging work that has a positive impact on the lives of millions of people. As part of our team, you will contribute to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Build the healthcare system of tomorrow with us, making it more responsive, affordable, and equitable. Make a difference and start doing your best work.SM

Job Description:

Customer Service Advocates:

- Serve as a single-stop resource for members enrolled in UHC benefit plans, building trust throughout their healthcare journey.
- Handle inbound calls, chats, and secure messaging to assist members with medical and pharmacy benefits, eligibility, claim resolution, dental and vision issues, and promote health care literacy.
- Use multiple databases, tools, and partnerships to refer and enroll members to appropriate internal specialists and programs based on their needs.
- Translate and interpret clinical/medical terminology and coding to help members manage costs using simple language.
- Adapt quickly to changes in process, policy, and guidelines at the site and enterprise level.

Responsibilities:

- Actively listen and ask appropriate questions to identify specific questions or issues from members.
- Document inquiries related to medical, vision, dental, and pharmacy plan details, plan/program eligibility, and medical claims.
- Educate members about the fundamentals of health care benefits and plans.
- Assist members in maximizing the use of community services, support programs, and available resources.
- Meet performance goals for efficiency, call quality, customer satisfaction, first call resolution, schedule adherence, and attendance.

Requirements:

- High School Diploma / GED (or higher).
- 1+ years of experience in a customer service environment.
- Ability to work 8-hour shift schedules during normal business hours of 6:00 am - 9:00 pm CST. Occasional overtime may be required.

Preferred Qualifications:

- Bachelor's degree (or higher).
- 2+ years of experience in a customer service environment.
- Experience in a healthcare insurance environment.
- Part of UHC Benefit Operations and Experience.

Soft Skills:

- Active listening.
- Negotiation.
- Empathy/sensitivity.
- Patience/resilience.
- Agility/flexibility.

Additional Information:

- California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington, or Rhode Island residents only: The salary range for residents of these states is $16.00 - $31.44. Pay is based on factors such as education, work experience, and certifications.
- UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer.
- Drug-free workplace. Candidates are required to pass a drug test before beginning employment.