Welcome to one of the toughest and most fulfilling"ways to help people, including yourself. We offer the latest tools, most"intensive training program in the industry and nearly limitless opportunities"for advancement. Join us and start doing your"life's best work.SM
The"purpose of this role is to interact with members regarding medical and pharmacy"benefits, eligibility and claims issues and to assist with plan selection and"enrollment. This role is expected to identify opportunities to connect members"to the best resources to meet their healthcare needs and provide support in"order to resolve medical and benefits issues on behalf of a member. The Service Account Manager Associate"builds trust with members across their health care lifecycle.
Primary Responsibilities:
Provide"in language service to Korean and English speaking customers
Own"problem-solving through to resolution on behalf of the member in real time or"through comprehensive and timely follow - up with the member
Respond"to and resolve on the first walk - in, customer service inquires and issues by"identifying the topic and type of assistance the customer needs such as"benefits, eligibility and claims, financial spending accounts and"correspondence.
Resolve"member service inquiries related to:
Terminology"and plan design
Financial spending accounts
Pharmacy"benefits, eligibility and claims
Correspondence"requests and Medical benefits, eligibility and claims
Educate"members about the fundamentals of health care benefits including:
Managing"health and well being
Maximizing"the value of their health plan benefits
Selecting"the best health plan to meet their health needs
Choosing"a quality care provider and appointment scheduling
Premium"provider education and steerage
Pre -"authorization and pre - determination requests and status
Assist"members in appointment scheduling to proactively address gaps in care
Use"analytical thought process to dissect complex claim issue, and complete"appropriate steps to resolve identified issues / or partner with others to"resolve escalated issues.
Provide"education and status on previously submitted pre - authorizations or pre -"determination requests
Make"outbound calls for various events organized by the team for higher event"participation, successful member onboarding
Provide"pre-sales consultation and enrollment to walk-in prospects that are interested"in our Medicare products
You'll be"rewarded and recognized for your performance in an environment that will"challenge you and give you clear direction on what it takes to succeed in your"role as well as provide development for other roles you may be interested in.
What we"do defines who we are. Take a deeper look at how we're providing support during"this global health crisis and search for a way you can get involved. View our"Covid-19 Resources Page at: https://info.uhg.com/
Required Qualifications:
High"School Diploma / GED (or higher)
Bilingual"fluency in Korean and English
1+ years in a Customer Service environment, proven customer service skills and"experience working in retail, call centers, or any other professional setting
California"Health License or the ability to obtain license within 30 days of employment
Ability"to navigate a computer
Ability"to navigate through multiple programs including Microsoft Excel (create"spreadsheets), Microsoft Word (update documents), Microsoft Outlook (create,"send email), and Microsoft Powerpoint (create and edit presentations)
Ability"to travel (up to 10%) to other sites locally within 25 miles based off of"business need
Preferred Qualifications:
Bachelor's"degree (or higher)
Experience"in Health Care / Insurance environment (Familiarity with medical terminology,"health plan documents, or benefit plan"design)
Previous"experience in translating healthcare - related jargon and complex processes"into simple, step - by - step instructions customers can understand and act"upon
Ability"to successfully complete UnitedHealthcare Operations CCP new hire training and"demonstrated proficiency and successfully complete UnitedHealthcare Operations"Customer Service Advocate training classes upon hire
Soft Skills:
Demonstrated"ability to quickly build rapport and respond to customers in a compassionate"manner by identifying and exceeding customer expectations (responding in"respectful, timely manner and delivering on commitments)
Demonstrated"ability to listen skillfully, collect relevant information, determine immediate"requests and identify the current and future needs of the member
Ability"to overcome objections and persuade members to take action / change behavior
Ability"to utilize multiple systems / platforms while on a call with a member - strong"computer skills and technical aptitude
Proficient"problem-solving approach to quickly assess current state and formulate"recommendations
Flexibility"to customize approach to meet all types of member communication styles and"personalities
Excellent"conflict management skills including:
Professionally"and adeptly resolve issues while under stress
Diffuse"conflict and member distress
Demonstrate"personal resilience
Strong"verbal and written communication skills. Solid time management skills
Strong"attention to detail
Physical Work Environment:
Able to"lift 30 lb boxes
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.SM
Diversity creates a healthier atmosphere:"UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action"employer and 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:"UnitedHealth Group, UnitedHealth Care, Health Care, Sales, Medicaid,"Retirement, Bilingual, Korean, Language, customer service, California Health"License
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
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