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You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work . SM
Positions in this function are responsible for providing expertise and customer service support to members, customers, and / or providers. Direct phone – based customer interaction to answer and resolve a wide variety of inquiries.
This position is full – time (40 hours / week), Monday – Friday. Employees are required to work our normal business hours of 6:00 AM – 8:00 PM CST / CDT. It may be necessary, given the business need, to work occasional / mandatory / voluntary overtime or weekends.
We offer 2 – 4 weeks of paid training. The hours during training will be 8:00 AM – 5:00 PM CST from Monday – Friday. Training will be conducted virtually from your home.
- All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Perform high level research on complex member requests
Maintaining accurate documentation in ORS / Service forms
Meet Quality, Productivity and Attendance requirements
Provide strong example of exemplarily leadership
Ensure satisfaction by providing assistance to providers / members with timely and accurate status updates to their requests
Perform any follow – up work needed for resolving and close requests
Identifying and resolve anticipated member issues to prevent future calls
Maintain proficiency in all technical applications (technical skills and system knowledge)
Comply with all current policies, procedures and workflows
Extensive work experience, possibly in multiple functions.
Work does not usually require established procedures
Works independently
Acts as a resource for others
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
High School Diploma / GED (or higher)
1+ years of recent customer service experience within Community and State
1+ years of experience with using the MACESS platform
1+ years of experience with using the FACETS platform
Recent experience with using the MAESTRO platform
Ability to work any 8-hour shift between the hours of 6:00 AM – 8:00 PM CST / CDT including the schedule flexibility to work occasional / mandatory / voluntary overtime based on business need
Preferred Qualifications:
2+ years of claims experience within the Community and State
Experience with using RX Claims platform
Experience with Individual Family Plans (IFP)
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:
Effective verbal / written communication skills (i.e., the CRG will be responsible for speaking with providers, members, and other business partners)
Physical and Work Environment:
Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse
Office environment
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.
Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military
Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet
Careers with UnitedHealthcare . Let’s talk about opportunity. Start with a Fortune 10 organization that’s serving more than 85 million people already and building the industry’s singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near – obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they’re found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that’s second to none. This is no small opportunity. It’s where you can do your life’s best work. SM
Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $17.12 to $30.34. The salary range for Connecticut / Nevada residents is $18.80 to $33.41. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.
Keywords: #RPO, #YELLOW
