Plan Advisor Representative - National Remote - UnitedHealth Group

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

We have training classes starting soon to help you build the successful career that you want - apply today! We provide the support and structure; you provide the interest and motivation.

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work.^SM

You like working with people. Even more so, you like helping them. When you join us as a Senior Customer Service Representative for UnitedHealthcare, you’ll have the opportunity to make a difference in the lives of our members and their families each day as they look to you as their trusted advisor and advocate. You’ll be empowered to compassionately deliver an exceptional experience - always remembering that there is a real person on the other end of the phone who is looking for help, guidance, and support. You’ll help them understand and make informed decisions about their care services by assisting them with their needs from start to finish. You will answer their questions, and may resolve outstanding issues, schedule appointments, or help them to enroll in and/or select a health care plan. Here, you’ll join us on a mission to deliver the best customer service in the health care industry. Period. Your compassion and customer service expertise combined with our support, training and development will ensure your success. This is no small opportunity. This is where you can bring your compassion for others while doing your life’s best work.^SM

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00am - 8:00pm CST). It may be necessary, given the business need, to work occasional overtime. 

We offer 10 weeks of paid training. The hours during training will be 8am to 4:30pm CST, Monday - Friday. 100% attendance required. Call training and plan advisor training incorporated into that 10 weeks and start taking calls after that. Future Training: After they are comfortable/ proficient on taking calls they will go back in for claims training (4 weeks). After training they will start processing claims and on 0 check for 13 weeks or until they are successful completing claims buckets. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Provide an exceptional customer service experience when responding to and resolving customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence

• Research complex issues (such as Medical, Dental, Flex Spending, Pharmacy, etc.) across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues

• Own issue through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member

• Apply creative solutions and effective problem solving techniques to address members’ needs

• Educate the member on health incentives offered by their employer as well as consumer driven health products; HSA, HRA, and HDHP - some resulting in additional healthcare dollars for the member to utilize

• Educate the caller on the benefits of a primary care physician and help to ensure/educate that all preventive screenings have been completed

• Intervene with care providers (doctor’s offices) on behalf of the member to assist with appointment scheduling or other matters when needed

• Address complex issues with an awareness of when to refer complicated situations to various departments or leadership for further assistance

• Translate healthcare-related terms or terminology and complex processes into simple, step-by-step instructions which members can understand

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 10+ years of equivalent work experience.

• 1+ years of customer service experience in an office or professional setting.

• All new hires will be required to successfully complete the training classes and demonstrate proficiency of the material.

• Must be 18 years of age or older.

• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00am - 8:00pm CST). It may be necessary, given the business need, to work occasional overtime. 

Preferred Qualifications:

• Familiarity with medical terminology, health plan documents, or benefit plan design

• Prior experience utilizing multiple systems/platforms while on a call with a member

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.

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 - $31.44 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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.

#RPO #GREEN