Service Account Manager Associate - Remote in West Virginia

Company: UnitedHealth Group
Location: Charleston
Posted on: May 22, 2023

Job Description:

If you are located within the state of West Virginia, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.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.SMThis 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 Service Account Manager Associate acts as a customer advocate to resolve escalated and complex issues.This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends.*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.Primary Responsibilities:

• Answer incoming calls from providers, employees, clients and broker
• Install Docs and Intent Calls
• Work directly with group contacts, sales and account managers, and brokers on claim payment and plan issues
• Answer escalated / Supervisor calls if supervisor or lead is not available
• Assist customer service representatives in responding to and resolving customer questions and concerns
• Liaison between Legal and the claims contacts
• Create and update HPDBs
• Identify the need for and provide specific and remedial training to processors or Customer Service Representatives
• Large claim file reviews
• Monitor large dollar claims for stop loss
• Site visits to Clients to share results and resolve question, concerns and plan restatements for upcoming year changes
• Respond to SBA and External Vendor auditsYou'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)
  • 2+ years of customer service experience analyzing and solving customer problems
  • Experience using Microsoft Office products including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort, filter, and work within tables), and Microsoft Outlook (email and calendar management)
  • CPS experience (UMR Claims Processing System)
  • Ability to work full-time, between 8:00am - 5:00pm including the flexibility to work occasional overtime or weekends given the business needPreferred Qualifications:
    • Previous account management experience
    • Service Center / Call Center environment experienceTelecommuting Requirements:
      • Reside within the state of West Virginia
      • 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 serviceCareers with UnitedHealthcare. Work with a Fortune 5 organization that's serving millions of people as we transform health care with bold ideas. Bring your energy for driving change for the better. Help us improve health access and outcomes for everyone, as we work to advance health equity, connecting people with the care they need to feel their best. As an industry leader, our commitment to improving lives is second to none.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 #YELLOW

Keywords: UnitedHealth Group, Charleston , Service Account Manager Associate - Remote in West Virginia, Executive , Charleston, West Virginia