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Customer Service Advocate - Bilingual Korean - Queens, NY

UnitedHealth Group


Location:
Flushing, NY
Date:
11/17/2017
2017-11-172017-12-16
Job Code:
733296
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Job Details

733296 Customer Service Advocate Bilingual Korean Queens NY

Customer Service Advocate - Bilingual Korean - Queens, NY (733296)

Position Description

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.
 
The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility and claims issues and to assist with plan selection and enrollment. This role is expected to identify opportunities to connect members to the best resources to meet their healthcare needs and provide support in order to resolve medical and benefits issues on behalf of a member. The Customer Service Advocate builds trust with members across their health care lifecycle.
 
Primary Responsibilities:
  • Provide in language service to Korean and English speaking customers over the phone
  • Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow-up with the member
  • Effectively refers and enrolls members to appropriate internal specialists and programs, based on members’ needs and eligibility
  • 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
  • Resolve member service inquiries related to:
    • Medical benefits, eligibility and claims
    • Terminology and plan design
    • Financial spending accounts
    • Pharmacy benefits, eligibility and claims
    • Correspondence requests
  • Educate members about the fundamentals of health care benefits including:
    • Managing health and well being
    • Maximizing the value of their health plan benefits
    • Selecting the best health plan to meet their health needs
    • Choosing a quality care provider and appointment scheduling
    • Premium provider education and steerage
    • Pre-authorization and pre-determination requests and status
  • Assist members in appointment scheduling to proactively address gaps in care
  • Intervene with care on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed
  • Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience
  • 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
  • Maximizes use of community services, support programs, and resources available to members
Required Qualifications:
  • High School Diploma / GED
  • Bilingual fluency (verbal and written) in Korean and English required
  • 1+ years in a Customer Service environment (proven customer service skills and experience working in retail, call centers, or any other professional setting)
  • Upon hire you must successfully complete the UnitedHealthcare Operations new hire training and demonstrated proficiency required. This role will also be required to successfully complete the UnitedHealthcare Operations Customer Service Advocate training classes and demonstrate proficiency of the material
  • Ability to work regularly scheduled shifts within our hours of operation (Monday - Friday, from 9:00 am - 8:30 pm eastern time), where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and / or weekends, as needed
Preferred Qualifications:
  • Associate’s Degree preferred, but not required
  • Experience in Health Care / Insurance environment, preferred (familiarity with medical terminology, health plan documents, or benefit plan design)
  • Previous experience in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon
 Soft Skills:
  • Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manner and delivering on commitments)
  • Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the member
  • Ability to overcome objections and persuade members to take action / change behavior
  • Ability to utilize multiple systems / platforms while on a call with a member - strong computer skills and technical aptitude
  • Proficient problem solving approach to quickly assess current state and formulate recommendations
  • Flexibility to customize approach to meet all types of member communication styles and personalities
  • Excellent conflict management skills including:
    • Professionally and adeptly resolve issues while under stress
    • Diffuse conflict and member distress
    • Demonstrate personal resilience
  • Strong verbal and written communication skills. Solid time management skills
  • Strong attention to detail
Physical Requirements and Work Environment:
  • Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.
 
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.
 
Keywords: UHG, UHG, customer service, Korean, bilingual, member, service advocate

Job Details

  • Contest Number733296
  • Job TitleCustomer Service Advocate - Bilingual Korean - Queens, NY
  • Job FamilyCustomer Services
  • Business SegmentEmployer and Individual

Job Location Information

  • Flushing, NY
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

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.

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