Position Description: 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. Primary Responsibilities:
Provide excellent service to walk - in members
Receives and responds to inquiries from walk - in members regarding benefits, policies, procedures and protocols.
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.
Promote 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.
Meet established performance standards.
Demonstrate the ability to build and maintain productive working relationship with others and contribute as an effective team member.
Perform Insides sales function to increase new business
Service walk - in prospects interested in Medicare and Individual Products.
Explain plan benefits and assist prospects to choose the most appropriate plan according to their needs.
Provide information on various plan designs and send out benefit package and sales materials.
Coordinate with Sales Rep. on prospect follow - up.
Input sales activities and results on sales tracking system.
Collect and review enrollment application to ensure completeness.
Coordinate with Sales Administrative Assistant and Enrollment Dept. to ensure smooth enrollment process.
Active participation in community events to build relationship and promote our brand.
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.