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Research and Resolution Specialist - Orlando, FL

UnitedHealth Group

Orlando, FL
Job Code:
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Job Details

Research and Resolution Specialist - Orlando, FL(Job Number:719155)

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.SM

The Senior Customer Service Representative is responsible for handling all incoming Billing and Eligibility phone calls and for serving as the primary customer interface for departmental inquiries.

Primary Responsibilities:
  • Answer incoming calls regarding benefits, claims, eligibility and other inquiries as it relates to health insurance and acts as Member Advocate.
  • Meet individual and quality standards to achieve departmental performance goals.
  • Consistently meets or exceeds individual quality standards to achieve departmental performance goals.
  • Thoroughly review and investigate claim problems and routes appropriately for resolution.
  • Research issues and use judgment for obtaining only the relevant information.
  • Demonstrates the ability to coach and mentor staff for career development.
  • Exercises a pro - active approach in identifying trends relating to member / provider dissatisfaction.
  • Prioritizes inbox and workload to meet/exceed closure rate department standards.
  • Exceeds tardiness and attendance standards set by company policies.
  • Handle all calls courteously, politely and professionally.
  • Attend in - services / meetings and maintain resource materials.
  • Complete career and self - improvement classes determined by Supervisor / Manager.
  • Pro - actively requests and completes special projects from Management, consistently meeting quality standards and time frame expectations.
  • Other duties as assigned

Job Phone Support
Primary Location US-FL-Orlando
Other Location 
Organization OptumRx Customer Service
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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