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$500 Sign-On Bonus for External Candidates

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get.
Leading edge technology in an industry that's improving the lives of millions.
Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably.
There's no room for error.
Join us and start doing your life's best work.(sm)

Positions in this function are responsible for providing expertise and customer service support to government and commercial members.

Main Responsibilities:

  • Respond to and resolve on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as medicine order processing, medicine delivery status, and eligibility and claims.
  • Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being.
  • Intervene with care providers (doctor's offices) on behalf of the customer to assist with the approval of their prescription for mail order service.
  • Own problem through to resolution on behalf of the customer in real time or through comprehensive and timely follow-up with the member
  • Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues
  • Provide education and status on previously submitted pre-authorizations or pre-determination requests
  • Meet the performance goals established for the position in the areas of:
    efficiency, call quality, customer satisfaction, first call resolution and attendance

This role is equally challenging and rewarding.
You’ll be spending long periods of time on the phone and called on to research complex issues pertaining to the caller’s health, status and potential plan options.
To do this, you’ll need to navigate across multiple databases which require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.

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.


• ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION

Required Qualifications:

  • High school diploma or higher
  • 1+ years of customer service experience analyzing and solving customer problems OR 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Ability to work 40 hours / week during standard business operating hours Monday - Friday from 8am – 12:
    00am and Saturdays 9:
    00am – 7:
    30pm.
  • It may be necessary, given the business need, to work occasional overtime or weekends
  • Bilingual Spanish/English proficiency
  • Full COVID-19 vaccination is an essential requirement of this role.
    UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualifications:

  • Prior health care experience
  • Medical terminology knowledge

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Careers with Optum.
Here's the idea.
We built an entire organization around one giant objective; make health care work better for everyone.
So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.
For you, that means working on high performance teams against sophisticated challenges that matter.
Optum, incredible ideas in one incredible company and a singular opportunity to do 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.

Job Keywords:
Customer Service, Call Center, Customer Service Dental, San Juan, PR, Puerto Rico, #RPO, hiring immediately

Read the full job description and apply online on the recuiter's web-site

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