Customer Service Advocate
- Respond to and resolve, on the first call, customer service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
- Help guide and educate customers about the fundamentals and benefits of consumer - driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
- Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
- Guide customers in using myuhc.com and other UnitedHealth Group digital platforms, while encouraging and supporting them to become confident and independent users
- Must be able to multitask and pay close attention to detail
- Based on business needs, you may be asked to assist with calls and/or other tasks assigned from other lines of business within UHG
- Apply professional written and oral communication skills when communicating with members and team.
- Remain focused and productive each day though tasks may be repetitive.
- Recognize when to seek help for difficult situations from Supervisor or Team Member.
- Identify root-cause of problems, seek/offer solutions, investigate complex matters, and discuss business practice improvements as appropriate.
- High School Diploma / GED OR equivalent years of work experience
- Must be 18 years of age OR older
- 1+ years of experience in customer service
- This position involves member calls, with an expected volume of 50 - 70 calls daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods.
- Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
- Proficient in Microsoft Office Suite, including Microsoft Word for creating and editing documents, Microsoft Excel for data analysis and spreadsheet management, Microsoft PowerPoint for developing presentations, and Microsoft Outlook for managing emails, calendars, and communications
- Ability to work any of our full time (40 hours / week), 8-hour shift schedules during our normal business hours of 10:30am - 7:00pm CST from Monday - Friday. It may be necessary, given the business need, to work occasional overtime and weekends.
- Health Care / Insurance environment (familiarity with medical terminology, health plan documents, OR benefit plan design)
- Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
- Sales OR account management experience
- Experience with successfully working in a remote, home - based environment, maintaining productivity, communication, and collaboration using digital tools.
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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