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Provide excellent service to walk - in members
Acts as a customer advocate in providing assistance to resolve members issues and problems
Follow - up calls to members with resolution to identified issues in timely manner
Resolves inquiries related to authorizations, claims, enrollment, and billing
Provides service requests to other departments as needed
Fulfills material requests for members
Maintains accurate member data, including addresses, phone numbers, and PCP changes
Inputs data in system for record tracking and issue resolution
Documents all issues in system in a timely manner
Proactively educates members on cover benefits, plan exclusions, and procedures to enhance total customer service experience
Promotes various store events and seminars to customers
Assists members to apply for various government assistance programs
Performs accountabilities in accordance with established organizational metrics
Identifies trends and continuously makes recommendations to improve processes
Reports issues or problems with members, systems and processes to manager
Assists and involves in member retention projects
Performs other related projects and duties as assigned
Demonstrate the ability to build and maintain productive working relationship with others and contribute as an effective team member
Performs Insides sales function to increase new business
Service walk - in prospects interested in Medicare and Individual Products
Responsible for the daily support of the sales function to minimize the administrative work of producers
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.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.