Customer Service Representative
About The Position
This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. At Optum Workers’ Compensation & Auto No-Fault, we are a people-first organization. People are at the center of everything we do—from the clients and partners we support to the injured individuals we serve. We are committed to delivering exceptional customer service in every interaction, guided by our purpose to create a better industry—one insight, one connection, and one person at a time. Our mission is to make workers’ compensation and auto no-fault simpler, more effective, and better for everyone. As a Customer Service Rep, you will primarily take inbound calls from Pharmacies, Insurance Carriers, and Injured Workers to assist in processing medications related to workers’ comp claims. Your role involves delivering outstanding customer service daily, working compassionately and efficiently to meet required phone metrics, team service level expectations, and serve customers effectively. As part of our Contact Center team, the quality of support you deliver will directly translate into better care for our client’s injured workers. This role is equally challenging and rewarding and provides an opportunity to bring your compassion for others while building your career. Training classes start soon – apply today!
Requirements
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience in a call center environment
- Experience using computer and Windows PC applications, including keyboard and navigation skills, in addition to quickly and easily learning new and complex systems
- Ability to work full time, Tuesday - Saturday OR Sunday - Thursday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 11:00 am - 8:00 pm EST (2 for each shift). It may be necessary, given the business need, to work occasional overtime or weekends.
Nice To Haves
- Health care experience
- Capable of troubleshooting computer issues in a virtual work environment before working with IT support
Responsibilities
- Handle inbound and outbound calls and emails with pharmacies, injured workers, case managers, and payers regarding workers’ compensation claims and prescription fulfillment
- Resolve customer inquiries efficiently using multiple systems, with a strong focus on first-call resolution and timely follow-up
- Communicate clearly and professionally to build positive relationships with clients, patients, and pharmacy partners
- Document interactions accurately and manage multiple priorities, including supporting additional business needs as assigned
- Meet performance expectations for efficiency, quality, customer satisfaction, attendance, and policy adherence
- Maintain strict compliance with patient privacy and confidentiality requirements, including HIPAA
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
