Customer Service Representative - Las Vegas, NV

• Provide excellent customer service
• Constantly meet established productivity, schedule adherence, and quality standards
• Respond to complex customer calls
• Resolve customer service inquiries
• Benefit and Eligibility information
• Billing and Payment issues
• Customer material requests
• Physician assignments
• Authorization for treatment
• Explanation of Benefits (EOB)
• Telephonically
  assist members and providers with all levels of problem solving,
  inquiries, provider information and general insurance service
• Assist in enrollment efforts
• Answer
  incoming calls regarding benefits, claims, eligibility and other
  inquiries as it relates to health insurance and acts as Member Advocate
• Meet individual and quality standards to achieve departmental performance goals
• Thoroughly review and investigate claim problems and routes appropriately for resolution
• Research issues and use judgment for obtaining only the relevant information
• Prioritizes inbox and workload to ensure closure rate within department standards
• Meet and maintain tardiness and attendance standards set by company policies
• Handle all calls courteously,politely and professionally
• Attend in-services/meetings and maintain resource materials
• Complete
  career and self-improvement classes; namely Defusing Anger, Dealing
  with/ Difficult People, Dealing with Difficult Co-Workers, and
  Self-Esteem or other classes as determined by Supervisor/ Manager

• An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
• 1+ years Customer Service or ACD Call Center Experience is required
• Familiarity of MS/ Office (Word,Excel & Outlook) is required
• Ability to type a minimum of 35wpm is required
  

• Experience in a healthcare insurance or medical field preferred
• Knowledge or ability to learn state and federal laws and regulations applicable to the call center is desired
• Knowledge of HMO/ PPO/ Medicare plans/ benefits and medical terminology preferred
• Bilingual in English and Spanish preferred

• 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
  

Careers at
UnitedHealthcare Employer & Individual. We all want to make a difference
with the work we do. Sometimes we're presented with an opportunity to make a
difference on a scale we couldn't imagine. Here, you get that opportunity every
day. As a member of one of our elite teams, you'll provide the ideas and
solutions that help nearly 25 million customers live healthier lives. You'll
help write the next chapter in the history of healthcare. And you'll find a
wealth of open doors and career paths that will take you as far as you want to
go. Go further. This is your life's best
work.

Diversity creates a healthier atmosphere: All
qualified applicants will receive consideration for employment without regard
to race, color, religion, sex, national origin, protected veteran status, or
disability status. 

UnitedHealth Group is a drug-free workplace. Candidates are required to
pass a drug test before beginning employment. In addition, employees in certain
positions are subject to random drug testing.