About The Company Optum is a leading global organization dedicated to delivering innovative healthcare solutions through technology and compassionate care. With a mission to help millions of people live healthier lives, Optum integrates data, pharmacy benefits, and healthcare services to improve health outcomes across diverse communities. The organization fosters a culture rooted in inclusion, collaboration, and continuous growth, providing employees with comprehensive benefits and ample career development opportunities. As part of the UnitedHealth Group family, Optum is committed to making a positive impact on society by advancing health optimization on a global scale. About The Role The Remote Customer Service Representative role offers an exciting opportunity to be part of a dynamic team dedicated to delivering exceptional service to healthcare members. This position is fully remote within the Central Time Zone, providing flexibility to work from home while supporting individuals with their healthcare needs. The successful candidate will handle 30-40 calls daily, offering guidance, answering inquiries, and resolving issues related to healthcare eligibility, claims, and payments. The role emphasizes compassionate communication, problem-solving, and building rapport with members and providers. Employees will undergo an 8-week virtual training program to develop the necessary skills and knowledge to excel in this role. The position operates on a full-time basis, Monday through Friday, with shifts scheduled during normal business hours, with occasional overtime as needed. Qualifications
High School Diploma or GED
Must be 18 years of age or older
Minimum of 1+ years of experience in a related environment utilizing phones and computers
Familiarity with computer and Windows PC applications, including navigating complex systems
Ability to successfully complete customer service training and demonstrate proficiency
Flexibility to work full-time, Monday to Friday, during business hours of 8:00 am - 5:00 pm CST
Preferred Qualifications
Healthcare industry experience
Call center experience
Responsibilities
Answer incoming calls from customers in a call center environment, identifying their needs and providing assistance
Resolve customer issues on the first call whenever possible by navigating complex computer systems and databases
Provide accurate information and answer questions in a positive and professional manner to foster strong relationships
Ask relevant questions and actively listen to identify specific concerns or issues, documenting details accurately in systems
Research complex issues across multiple databases and collaborate with support resources or escalate issues as needed
Meet performance metrics related to efficiency, call quality, customer satisfaction, and attendance
Maintain a high level of professionalism and integrity in all interactions, ensuring customer needs are met effectively
Participate in ongoing training and development activities to enhance skills and knowledge
Benefits
Comprehensive benefits package including health, dental, and vision insurance
Incentive and recognition programs
Stock purchase options and 401(k) retirement plan contributions
Paid training and career development opportunities
Flexible remote working environment
Equal Opportunity UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will receive consideration without regard to race, national origin, religion, age, gender, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic. The organization is committed to creating an inclusive and diverse workplace where all employees can thrive. Additionally, UnitedHealth Group maintains a drug-free workplace policy, and candidates are required to pass a drug test prior to employment.
Skills
Customer ServiceTechnology, Information and Internet