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Enrollment and Eligibility Representative

AT UnitedHealth Group
UnitedHealth Group

Enrollment and Eligibility Representative

Bangalore, India

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.

Primary Responsibilities:

  • Be able to meet standard performance targets like Quality, TAT, NPS, etc.
  • Eager to take on more responsibilities and should be able to execute the adhoc tasks
  • Ensure compliance with internal policies and procedures, external regulations and information security standards
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

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Required Qualifications:

  • Graduation completed with no active backlog (Excluding B.E. and B.Tech candidates)
  • 1+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • Stable work experience
  • Maintains expert level knowledge of Eligibility process and provide inputs to Leadership on any process gaps that exist
  • Understanding of Healthcare terminologies/concepts
  • Moderate proficiency with Microsoft Word and Excel
  • Proven computer skills, including working knowledge of MS Windows and strong mouse and keyboarding skills
  • Proven ability to clearly communicate and resolve customer/broker queries through email/call
  • Proven good interpretation of SOP guidelines
  • Proven to work independently with minimum supervision and adhere to all process guidelines
  • Proven ability to communicate process failures and propose remediation, as well as developing remediation plans in all variety of mediums (verbal, writing, PowerPoint)
  • Proven excellent communication skills in both verbal & written
  • Proven ability to work in permanent night shift and extended shift as per business need
  • Proven attention to detail - should be quality focused
  • Proven good Team player and ability to work with minimal supervision
  • Proven solid computer skills, including working knowledge of MS applications and keyboarding skills
  • Proven flexible and adapt basis business need

Physical Requirements and Work Environment:

  • Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, long periods working at a computer
  • Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity

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.

Client-provided location(s): Bengaluru, Karnataka, India
Job ID: UHG-2283503
Employment Type: Full Time

Perks and Benefits

  • Health and Wellness

    • HSA
    • On-Site Gym
    • HSA With Employer Contribution
    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • Short-Term Disability
    • Long-Term Disability
    • FSA
  • Parental Benefits

    • Non-Birth Parent or Paternity Leave
    • Birth Parent or Maternity Leave
  • Work Flexibility

    • Remote Work Opportunities
  • Office Life and Perks

    • Commuter Benefits Program
  • Vacation and Time Off

    • Leave of Absence
    • Personal/Sick Days
    • Paid Holidays
    • Paid Vacation
  • Financial and Retirement

    • Relocation Assistance
    • Performance Bonus
    • Stock Purchase Program
    • 401(K) With Company Matching
    • 401(K)
  • Professional Development

    • Promote From Within
    • Shadowing Opportunities
    • Access to Online Courses
    • Tuition Reimbursement
  • Diversity and Inclusion

    • Diversity, Equity, and Inclusion Program

Company Videos

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