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in Wausau, WI

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Hours Full-time, Part-time
Location Wausau, WI
Wausau, Wisconsin

About this job

Don't wait to apply - we have training classes starting soon that are designed to set you up for success!




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/Claims Representatives work hard to build trusted relationships with members across their health care lifecycle. This includes 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 the very best customer service to internal/external customers. (Approximately 50-60 calls per day).



  • Constantly meet established productivity, schedule adherence, and quality standards



  • Processes claims according to specified procedures and standards, meeting all position production and quality standards.



  • Recognizes when to refer complicated claim situations to the various areas, outside firms and organizations.  Submits and monitors claims referred to internal support units.



  • Determines if third party recovery or reimbursable compensation potential exists.



  • Handles complex claim situations.  Analyzes and resolves problems from customers and providers.  Selects and explains the best solution for the problem.



  • Project work as assigned.

Requirements

Qualifications:


  • 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


There are several steps in our hiring process - it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an  on-line pre-screening test  that we ask you to complete as part of our selection process.  You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail.

 
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 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 where ever 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





Diversity creates a healthier atmosphere: 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: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class