Customer Service Representative

This position is National Remote. 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 people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.

Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast – paced and highly diversified career.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 8:30 am-5:00 pm CST. It may be necessary, given the business need, to work occasional overtime. This is a remote US position.  

We offer 4 weeks of training. The hours during training will be 8:00am to 4:30pm CST, Monday – Friday.

   

Primary Responsibilities:

• Answer incoming phone calls from customers and identify the type of assistance the customer needs for consumer driven health and flex spending accounts.   
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems  
• Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member 
• Review and research incoming consumer driven health claims from members by navigating multiple computer systems and platforms and verifying the data/information necessary for processing 
• Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures 
• Communicate and collaborate with members and providers to resolve issues, using clear, simple language to ensure understanding 
• Meet the performance goals established for the position in the areas of efficiency, accuracy, quality, member satisfaction and attendance

   

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. 

Required Qualifications:

• High School Diploma / GED OR equivalent work experience 
• Must be 18 years of age OR older 
• 2+ years of combined education, work and/or volunteer experience.  
• All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material 
• Ability to work full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work on any of our 8-hour shift schedules during our normal business hours of 8:30 am-5:00 pm CST. It may be necessary, given the business need, to work occasional overtime. This is a remote US position. 

   

Preferred Qualifications:

• Customer Service experience 
• Experience working in a professional environment utilizing both telephone and computer systems to perform daily tasks 

   

Telecommuting Requirements: 

• Ability to keep all company sensitive documents secure (if applicable) 
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy. 
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. 

   

Soft Skills:

• Proven ability to work independently with minimal supervision, demonstrating strong time management, problem-solving skills, and accountability in completing tasks efficiently and accurately    

   

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

   

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $17.74 – $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

   

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission. 

  

   

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

  

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

  

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