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Lead Enrollment / Eligibility Representative - Cincinnati, OH

UnitedHealth Group

Cincinnati, OH
Job Code:
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Job Details

Lead Enrollment / Eligibility Representative - Cincinnati, OH(Job Number:728019)

Position Description:


Working in Operations at UnitedHealth Group is 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:

  • Ability to work on sensitive subject matter with the highest level of discretion

  • Assist direct Manager / Supervisor in yearly annual reviews

  • Balance customer assignments within the team to ensure service levels are met

  • Respond effectively to customer needs or requests by providing information, service, or by referring customers to appropriate staff

  • Work directly with group contacts, SAE’s and brokers on enrollment and plan eligibility issues or questions

  • Provide feedback to supervisors regarding Enrollment Specialists technical skill level (Areas you seen concern with, while providing ideas for solutions to the problem)

  • Researching and interpreting enrollment / eligibility questions for many different and unusual plans and offering technical direction on how to move forward with the call and / or enrollment entry resolution

  • Monitor high profile / top accounts as assigned by the supervisor, SAE’s or directors, making sure any guarantees or special enrollment procedures are met

  • Facilitate discussions with customers and plan holders on escalated issues

  • Actively participate in customer visits and finalist presentations

  • Ability to analyze customer reports and take appropriate action based on the data

  • Provide continual education and consultation to the customer

  • Attend all appropriate team meetings

  • Contribute to team effort by accomplishing related results as needed

  • Build trust through collaboration, building lifelong partnerships with fellow workers, SAE’s and customers

  • Be an approachable resource to your team

  • Promote excellent customer service techniques, while helping leadership develop the skills of others

  • Define / develop ways to help the team to be more effective

  • Improve quality metrics in all categories

Competencies, Knowledge, Skills and Abilities:

  • Develops and maintains a high level of expertise in customer service and health plan eligibility knowledge

  • Demonstrates effective time management skills and the ability to manage multiple priorities.

  • Demonstrates superior interpersonal and communication skills

  • Demonstrates ability to analyze and think through issues thoroughly, identifying alternative / effective solutions

  • Demonstrates a high degree of customer focus and attention to service

  • Ability to operate a PC along with various applications

  • Demonstrates a high level of discretion amongst team members

Job Enrollment & Eligibility
Primary Location US-OH-Cincinnati
Other Location 
Organization E&I UMR
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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