Arizona. Colorado. Delaware. District of Columbia. Florida. Georgia. Hawaii. Iowa. Kansas. Louisiana. Maryland. Massachusetts. Michigan. Mississippi. Nebraska. Nevada. New Jersey. New Mexico. New York. Ohio. Pennsylvania. Rhode Island. Tennessee. Texas. Washington. Wisconsin
UnitedHealthcare, which provides health care coverage and benefits services and
Optum, which provides information and technology-enabled health services.
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. Read employee reviews here
from anywhere within the U.S.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:00 am – 10:00 pm CST). It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary 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 benefits, eligibility and claims, financial spending accounts, and correspondence
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
This role is equally challenging and rewarding. You’ll be 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 requires 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 a 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 higher) OR equivalent work experience
Minimum of 3+ years of combined education, work, and/or volunteer experience
Preferred Qualifications:
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion, and behavior change (working with vulnerable populations)
Sales or account management experience
Customer Service Experience
Telecommuting Requirements:
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
from anywhere within the U.S
As an Elite Customer Service Advocate for UnitedHealthcare, you'll be responsible for building trust with members across their health care lifecycle. This function is responsible for assisting members with medical and pharmacy benefits, eligibility, claim resolution, triaging dental and vision issues, assisting with plan selection and enrollment, and improving health care literacy. This function is also responsible for multiple types of claim payment adjustments, including closed claims and denied claims. This function is expected to identify opportunities to resolve member issues timely.
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 7:00 am – 10:00 pm CST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provides premium-level service, removing burdens and providing end-to-end resolution for members. This includes, but is not limited to: Clinical, Financial Decision Support, Behavioral Support, Claims inquiries, and more
Provide a single point of contact for the member for highly designated or dedicated UHC national or key account insurance plans
Respond to and own consumer inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, financial spending accounts, correspondence, OptumRx Pharmacy, Optum Behavioral Health, and self-service options
Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member
Educate members about the fundamentals and benefits of consumer-driven health care topics to include managing their health and well-being so they can select the best benefit plan options and maximize the value of their health plan benefits
Advocate and intervene with care providers (doctor’s offices) on behalf of the member to assist with appointment scheduling, billing concerns, and coverage determinations
Assist the member with resolution as their advocate with 3rd party vendors
Assist members in navigating myuhc.com and other UnitedHealth Group websites or applications utilizing remote desktop system capabilities
Communicate and keep consumers informed through the means in which they prefer, i.e. Phone Call, secure messaging, e-mail or chat
Research complex issues across multiple databases and work with support resources to resolve member issues and/or partner with others to resolve escalated issues.
Meet the performance goals established for the position in the areas of conversation effectiveness, call quality, member satisfaction, first call resolution, efficiency, and attendance.
from anywhere within the U.S.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of (7:30 am – 8:00 pm CST). It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary 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 benefits, eligibility and claims, financial spending accounts, and correspondence
Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits, and choosing a quality care provider
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites while encouraging and guiding them towards becoming self-sufficient in using these tools
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.
Required Qualifications;
High School Diploma / GED (or higher) OR equivalent work experience
Minimum of 2+ years of combined education, work, and/or volunteer experience.
Experience with Microsoft Word, Outlook, PowerPoint & Excel – ability to create, edit, save and send documents, correspondence, presentation, and spreadsheets.
If you are located within the state of Texas, you will have the flexibility to telecommute*
Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, the most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM
Even if you have no prior experience, we have training classes starting soon to help you build the successful career that you want – apply today!
Turn on the news on any night of the week and you’re likely to hear about the changes that are sweeping through our health care system. It’s, dramatic. It’s positive. And it’s being led by companies like UnitedHealth Group. Now, you can take advantage of some of the best training and tools in the world to help serve our existing and new customers. You’ll take as many as 50-70 calls per day from customers who have questions about their health benefits. As their advocate, you’ll use your personality and our tools to help them through the health care benefits available to them, including helping them enroll in a new plan. This is no small opportunity.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am – 8:00 pm, CST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary 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 benefits, eligibility and claims, financial spending accounts, and correspondence
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient.
from anywhere within the U.S
You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative, you'll join us on a mission to not only deliver the best customer service in the health care industry but the best customer service. 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
In this role, you play a critical role in creating a quality experience for the callers that you connect with and those that you correspond with. Every interaction gives you that opportunity to improve the lives of our customers and exceed their expectations. You'll spend the majority of your day by responding to calls from our members and helping answer questions and resolve issues regarding health care eligibility, claims, and payments.
You'll also spend a portion of your time reviewing, researching, and processing healthcare claims with the goal to ensure that every claim has a fair and thorough review.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:05 am– 7:50 pm, EST. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)
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 healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan
documents/certificates)
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.
$1000 Sign On Bonus For External Candidates
Even if you have no prior experience, 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.
You like working with people. Even more so, you like helping them. This is your chance to join a team dedicated to helping our members and their families every day. In this joint role as a Customer Service and Claims Representative, you'll join us on a mission to not only deliver the best customer service in the health care industry but the best customer service. 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
In this role, you play a critical role in creating a quality experience for the callers that you connect with and those that you correspond with.
Every interaction gives you that opportunity to improve the lives of our customers and exceed their expectations. You'll spend the majority of your day by responding to calls from our members and helping answer questions and resolve issues regarding health care eligibility, claims, and payments. You'll also spend a portion of your time reviewing, researching and processing healthcare claims with the goal to ensure that every claim has a fair and thorough review.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am – 9:00 pm. It may be necessary, given the business need, to work occasional overtime.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Answer incoming phone calls from customers and identify the type of assistance the customer needs (i.e. benefit and eligibility, billing and payments, authorizations for treatment and explanation of benefits (EOBs)
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 healthcare claims from members and providers (doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g. pricing, prior authorizations, applicable benefits)
Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan
documents/certificates)
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 a 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 higher) OR 10+ years of equivalent working experience
All new hires will be required to successfully complete the Customer Service training classes and demonstrate proficiency of the material.
Remote Bilingual (English / Spanish)
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules between normal business hours 8 am to 8 pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 8 weeks of paid training. The hours during training will be 8:00 am to 8:00 pm EST Monday-Friday. Training will be conducted virtually from your home.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary 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 benefits, eligibility and claims, financial spending accounts and correspondence
Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
Initiate proactive outreach to members as needed, which may involve welcoming new members to our health plans, addressing gaps in care, reviewing coverage, and referring & enrolling them to internal specialists and programs based on their needs and eligibility
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient
This role is equally challenging and rewarding. You’ll be 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 requires fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
Oldsmar, FL OR Work From Home
This role is equally challenging and rewarding. Within a high-volume environment, you’ll need to model and act as an Ambassador for the company while solving complex health care inquires The Global Care Consultant as a customer advocate to resolve escalated and complex issues.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Provide expertise and customer service support to members, customers, and/or providers
Serve as the liaison to a complex customer base to manage first level response and resolution of escalated issues with external and internal customers
Identify and resolve operational problems using defined processes, expertise and judgment
Investigate claim and/or customer service issues as identified and communicate resolution to customers
Provide feedback to team members regarding improvement opportunities
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a 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 higher)
2+ years of customer service experience analyzing and solving customer problems
Ability to work variable hours including the flexibility to work biweekly weekends and rotating holidays
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.
If you are located within Grand Junction, Colorado, you will have the flexibility to telecommute*
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.
This position is full-time (40 hours/week) Monday – Friday. Employees are required to have the flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00 am – 5:00 pm MST). It may be necessary, given the business need, to work occasional overtime. Our office is located at 2775 Crossroads Blvd, Grand Junction, CO, 81506.
*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Educate customers about the fundamentals and benefits of consumer-driven health care, guiding them on topics such as selecting the best benefit plan options, maximizing the value of their health plan benefits, and choosing a quality care provider
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 benefits, eligibility and claims, financial spending accounts, and correspondence
Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
Assist customers in navigating myuhc.com and other UnitedHealth Group websites while encouraging and guiding them towards becoming self-sufficient in using these tools
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a 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 higher) OR Equivalent years of work experience
Minimum of 2+ years of combined education, work and/or volunteer experience
Preferred Qualifications:
Fluent in Spanish
Customer Service experience
Sales or account management experience
Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations).
from anywhere within the U.S.
All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Primary Responsibilities:
Accountable for the assigned region as needed (e.g., establish and nurture relationships, own issue resolution, provide service delivery, manage expectations)
Serve as a liaison to internal health plan partners on all aspects of UHC COBRA, FSA, PTP, and Select HRA products and processes
Resource for internal health plan partners who have used first-line resources for escalated issues that require additional support to remediate
Support to internal health plan partners with regards to navigating all materials and guides across products
Engage with regional health plan partners by attending existing team meetings to update on trends, regulatory updates, and or refresher topics specific to UHC COBRA, FSA, PTP and Select HRA
Create, Design, and Maintain product materials on Connect to Market.
Host implementation, ongoing administration, and renewal webinars on a monthly schedule across products with internal health plan partners as well as external brokers and employer groups
Assisting UHC Sales team with the function of and process to implement the Select HRA Product
Gatekeeper for Select HRA new business implementations to ensure compliant with Product, Underwriting, and system capabilities
Maintain collaborative relationships and open communication with internal Operation teams staying up to date on any updates/trends and vice versa.
Perform required research/analysis and coordinate across business teams to own resolution of customer issues
Comply with applicable laws, regulations, and policies for COBRA and Section 125
Work in multiple applications including but not limited to Microsoft Office (Word, Excel, Outlook, Access), Flexman, ETSBE, SBM, ACET, Wex FSA, COBRA Eas, PRIME, Cirrus, and NICE
Flexibility to work other operational roles during certain times of the year
Demonstrate understanding of applicable systems/procedures in order to provide appropriate information to customers (e.g., workflows, claims processing systems, claims payment methodology)
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you a clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
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