Enrollment Specialist

UnitedHealth Group • Wausau, WI

219d • $16 - $33 • Remote

About The Position

UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer-oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth. Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast-paced and highly diversified career. This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:00am - 5:00 pm (7:00pm CST if phone team). It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.

Requirements

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of experience helping customers resolve matters, preferably in an office environment
• Capacity to navigate a computer while speaking on the phone
• Familiarity with computer and Windows PC applications
• Experience with Microsoft Word, Excel, and Outlook
• Ability to work full time, Monday - Friday with flexibility to work any of the 8-hour shift schedules during normal business hours.

Nice To Haves

• 1+ years of experience in enrollment/eligibility for employer offered benefits
• 1+ years of experience in a health insurance industry

Responsibilities

• Serve as primary contact as it relates to all enrollment tasks for assigned book of business, which include multiple group customers; maintain satisfied customers by providing superior service and practice attention to detail in various responsibilities.
• Answer member, provider, and group customer phone calls; adhering to department expectations for answering calls and providing friendly customer service.
• Follow established procedures to maintain enrollment data in applicable systems and databases based on customer request, electronic file, or internal reports; seek guidance from superiors for non-standard enrollment inquiries.
• After new employee ramp-up period: employee is expected to meet or exceed departmental established productivity, quality, and turn-around standards; follows department guidelines to track own work completed.
• Once fully trained, take ownership of assigned workload following established procedures; frequently or periodically may require guidance from superiors to complete responsibilities.
• Follows departmental guidelines to manage and prioritize own workload daily for assigned group customers to meet customer demands; may require assistance from superiors in managing or prioritizing this workload.
• Read, interpret, and communicate eligibility requirements following plan guidelines.
• Practice advanced follow-up skills with internal and external parties to ensure group customer expectations are attended to and that member data is accurately reflected in enrollment system at all times.
• Review moderately complex error reports, analyze member enrollment data, and correct enrollment system(s) based on findings.
• Resolve customer inquiries as they relate to enrollment and eligibility through all lines of communication, including e-mails and phone calls; provide customer service in a friendly and professional manner to internal/external parties; document call details in applicable system.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED