Provide an exceptional customer service experience when responding to and resolving customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Research complex issues (such as Medical, Dental, Flex Spending, Pharmacy, etc.) across multiple da

Serve as primary contact as it relates to all enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities. Answer member, provider, and group customer phone calls; adhering to department expectations for answering calls and pr

Review, research, investigate and audit claims and provide feedback to team members on audit results Analyze and identify trends and provide feedback and reports to reduce errors and improve claims processes and performance Analyze information and utilize to build recommendations to reduce errors and improve process performance Create, maintain and track reports in relati

Ensure quality customer service for internal and external customers with focus on needs identification, problem solving and partnering with billing and eligibility specialists. Monitor delegated customer service issues to ensure timely and accurate resolution. Use appropriate communication techniques when responding to customers, particularly in stressful situations. Plac

Supervises, analyzes, authorizes and directs the work activities for assigned employees Analyzes team performance results by reviewing productivity and quality of work performed by assigned unit Supervises and plans monthly team meetings Meets with individual staff members regularly to assess and align performance goals to ensure staff members are on schedule in attaining

Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize appropriate resources to conduct non clinical research (e.g., benefit documents, evidence of coverage, state/federal mandates, online resources) Prioritize cases based on ap

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connect

Supervise Eligibility Representatives in their daily job functions to ensure files are applied timely and all turnaround times and quality standards are met and/or exceeded Telephonically assist our member eligibility or group questions & verify enrollment status Assist the team in meeting production standards Meet and exceed department quality audits and provides coachin

Coordinate and supervise daily/weekly/monthly activities of a 15 person team including setting priorities for the team to ensure task completion and performance goals are met. Coordinate work activities with other supervisors, managers, departments, etc. Identify and resolve operational problems using defined processes, expertise and judgment. Provide coaching, feedback,

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare , we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow,

Responsible for managing a team of Field Account Managers based throughout the State of Nevada Management and triage of customer related contacts, wellness integration and assistance in supporting UHG value proposition Training and development of employees, leading and developing a team of employees Managing employees up into other opportunities within the organization Ma

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare , we're simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow,

You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. UMR , UnitedHealthcare's third party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR , what you do matters. It's that simple . . . and it's that rewarding. In providing consumer oriented health benefit plans to millions of peopl

Perform telephonic customer outreach to improve health quality outcomes in collaboration with clinical pharmacists Provide additional telephonic engagement with providers and pharmacies Assess and interpret customer needs and requirements, triaging to a clinical pharmacist when appropriate Document and track member engagement You'll be rewarded and recognized for your per

Develop and maintain strong broker/consultant relationships Develop and maintain key internal relationships Understand customer and broker/consultant needs and provide value added consultation Identify key brokers/consultants for management development Understand goals, operating principles, strategies and competitive position of specialty benefits portfolio In depth Spec