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est. per hour
Customer Service Claims Representative - San Antonio, TX
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | San Antonio, TX San Antonio, Texas |
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're looking for that chance to connect more with the customers you support. UnitedHealth Group Customer Care Centers are home to a team focused on identifying and exceeding our customer's expectations by building strong relationships. We're always finding ways to improve our service experience and need thoughtful and considerate people like you to help us do this. In turn, we provide support, training and development to ensure you succeed in your role. Isn't it time for you to discover how we can help support your career goals?
The Customer Service Claims Representative is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity.
Responsibilities:
The Customer Service Claims Representative is responsible for answering incoming calls from customers while ensuring a high level of customer service and maximizing productivity.
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:
Physical Requirements and Work Environment:
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 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 health care. 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.SM
- 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
- 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
- Available to work 40 hours per week within the operating hours of the site of 7:00am to 9:00pm, Monday-Friday.
- English/Spanish Bilingual Preferred
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 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 health care. 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.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