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  • Eau Claire, WI

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Associate Enrollment / Eligibility Representative - Eau Claire, WI

UnitedHealth Group • Eau Claire, WI

Posted 17 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
Health Care

Job Competition

2

Applicants

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Job 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.


Your problem - solving skills can be vitally important in this role as you help us reconcile eligibility discrepancies, analyze transactional data and make retroactive eligibility changes. But while we challenge you to raise your game, we’re here to support and guide you every step of the way. You’ll find a work environment that places tremendous emphasis on mentoring, training and personal development. So, there you have it. A chance to have significant influence and impact plus a role that takes you to new levels of performance. This is a job that can quickly become your life's best work.(SM)

 

As an Associate Enrollment and Eligibility Representative, you will be responsible for receiving, reviewing, processing, and maintaining new member(s) / group enrollment information.  

 

Primary Responsibilities:

  • Receive paper and electronic enrollment / eligibility applications for new and / or existing customers; prioritize as appropriate

  • Respond to member eligibility or group questions and verify enrollment status

  • Review enrollment / eligibility submissions to identify any missing data and to validate information provided; reconcile any discrepancies

  • Submit files to relevant internal teams; provide any updates / changes / additions to enrollment / eligibility applications as needed

  • Responsible for inventory control of member and group transactions

  • Inform customers of enrollment - related policies and procedures; review eligibility guidelines and enrollment criteria to ensure their understanding

  • Track and review files to identify performance gaps, eligibility / loading errors, etc. and review those items with appropriate internal teams


Required Qualifications:

  • High School Diploma / GED or higher

  • 1+ years of Customer Service Representative (CSR) experience, OR 1+ years of experience in an office setting

  • Demonstrated ability in using computer and Windows PC applications, which includes strong keyboard and navigation skills and learning new computer programs

  • Ability to review, read, and follow written process instructions

  • Successful completion of the UnitedHealth Group new hire training and demonstrated proficiency

  • Ability to work Monday - Friday, 8 - hour shifts between the core business hours of 6am - 5pm, with flexibility to work occasional overtime during peak volume

Soft skills

  • Ability to multi - task, this includes ability to understand multiple products and multiple levels of benefits within each product

Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in healthcare. And we are the largest business in the nation dedicated to serving their unique health and well - being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9 million customers. You'll find a wealth of dynamic opportunities to grow and develop as we work together to heal and strengthen our Healthcare system. Ready? It's time to do your life’s best work.SM

 

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, UHC, enrollment, eligibility, customer service, office setting, member enrollment, group enrollment

Job ID: 2551_818383
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