Customer Service Representative - TRICARE - Colorado Springs, CO - Full-time / Part-time

You want more challenge. You want more opportunity. You
want more reasons to head in to work every day.  We want more people
like you. UnitedHealth Group Customer Care Centers are home to a team
that lives and breathes restless. We're still finding ways to outdo what
we did yesterday. And that's what makes us one of the fastest growing
businesses in the country and the world. Now it's time to discover how
our continuous expansion can drive incredible growth in your career.

Our
Customer Service Representatives work hard to build trusted
relationships with members across their health care lifecycle. This
includes assisting in plan selection and enrollment, educating members
about management of their health and well-being, helping members to
maximize health plan benefits and personal health care dollars and
owning customer service inquiries through to resolution.

Responsibilities:

• Respond to complex customer calls
• Resolve customer service inquiries which could include:
• Benefit and Eligibility information
• Billing and Payment issues
• Customer material requests
• Physician assignments
• Authorization for treatment
• Explanation of Benefits (EOB)
• Provide excellent customer service
• Constantly meet established productivity, schedule adherence, and quality standards

Qualifications:

• United States Citizenship
• Ability to obtain favorable adjudication following submission of Department of Defense form SF86 NAC form SF86.
• 1
  year of customer service experience analyzing and solving customer
  problems, OR 1 year of experience in an office setting environment using
  the telephone and computer as the primary instruments to perform job
  duties
• An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
• Authorization to work in the United States
• Available to work 40 hours per week anytime within the operating hours of the site
• Familiarity
  with computer and Windows PC applications, which includes the ability
  to learn new and complex computer system applications
• Ability to navigate a computer while on the phone
• Ability
  to multi-task, this includes ability to understand multiple products
  and multiple levels of benefits within each product
• Ability to remain focused and productive each day though tasks may be repetitive

Physical Requirements and Work Environment:

• Frequent
  speaking, listening using a headset, sitting, use of hands/fingers
  across keyboard or mouse, handling other objects, long periods working
  at a computer
• Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

As
a requirement of UnitedHealth Group's contract with the Department of
Defense, this position requires U.S. citizenship and proof of favorable
adjudication following submission of Department of Defense form SF86
http://www.opm.gov/forms/pdf_fill/sf86.pdf, (the National Agency Check
or "NAC"). Successful completion of the NAC
process is a requirement for continued employment in this role. NAC
processing will be initiated by our TRICARE Security Officer post-offer,
and can take 3-6 months for a final decision communication from the
Department of Defense. Candidates will be allowed to begin employment
with UnitedHealth Group in this role based on an interim clearance, and
final results will be communicated as they are received. Failure to
obtain final NAC approval will result in termination from this role.

UnitedHealth Military & Veterans Services is part of the family of companies that make UnitedHealth Group one of the leaders across the US health care system.


We
serve those who serve our nation, providing quality health care
services to millions of military beneficiaries across the South.


Our
commitment to helping people live healthier lives, and to continue the
honor, satisfaction, and quality of the TRICARE military health benefit
program is greater than ever. Our efforts complement the Military Health
System to demonstrate the best blend of public and private health care
solutions.

It's not just business as usual. It is one of our proudest endeavors.

If
you're ready to help make health care work better for those who serve
our nation. If you are smart, creative, and committed. If you want to
make a difference consider being part of the elite team at UnitedHealth
Military & Veterans Services.


This is an opportunity to share in something special;
a chance for all of us to serve, to excel, and to know that we've made a
difference for those families who have made our nation stronger.