About Company
UnitedHealthcare, a part of the UnitedHealth Group family of businesses, is dedicated to helping people live healthier lives and making the health system work better for everyone. We serve millions of individuals and thousands of employers, offering a broad range of health benefit plans that meet the diverse needs of our members. Our mission is to make health care more accessible, more affordable, and of higher quality. With a relentless focus on innovation, compassion, and community, we strive to provide exceptional service and support to our members, guiding them through their healthcare journeys. Joining UnitedHealthcare means becoming part of a global team committed to improving health outcomes and transforming the future of healthcare. We foster an inclusive environment where every voice is valued, and opportunities for growth and development are abundant. Discover how you can make a difference with us.
Job Description
Are you passionate about helping people navigate the complexities of health insurance from the comfort of your home? UnitedHealthcare is seeking dedicated and empathetic individuals to join our team as Remote Health Insurance Representatives based in Grand Prairie, Texas. In this vital role, you will be the first point of contact for our members, providing exceptional customer service, clarifying health plan benefits, and resolving inquiries related to claims, coverage, and eligibility. This is a full-time, remote position where you will leverage your communication skills and problem-solving abilities to ensure our members have a seamless and positive experience with their healthcare coverage. You will operate within a dynamic virtual environment, supported by a collaborative team and robust training resources. Success in this role requires a strong commitment to service excellence, attention to detail, and the ability to empathize with members facing various health-related questions. You will be instrumental in empowering our members to make informed decisions about their healthcare, directly contributing to their well-being and satisfaction. If you are a self-starter with a strong work ethic, comfortable with technology, and possess a genuine desire to assist others, we encourage you to apply and become a part of our mission-driven organization. This role offers the flexibility of remote work while providing the structure and support needed to thrive in a professional setting.
Key Responsibilities
- Respond to incoming calls from members regarding their health insurance plans, benefits, eligibility, and claims.
- Clearly and accurately explain complex health insurance information in an easy-to-understand manner.
- Assist members with navigating their online accounts, locating providers, and understanding prescription benefits.
- Investigate and resolve member inquiries and complaints, escalating complex issues when necessary.
- Document all member interactions and resolutions accurately in the designated systems.
- Adhere to all company policies, procedures, and regulatory requirements (e.g., HIPAA).
- Collaborate with internal departments to ensure timely and effective resolution of member issues.
- Maintain a high level of professionalism, empathy, and integrity in all member interactions.
- Participate in ongoing training and development to stay current with product knowledge and industry changes.
Required Skills
- Minimum of 2 years of experience in a customer service role, preferably in a call center environment.
- Strong verbal and written communication skills with the ability to articulate complex information clearly.
- Excellent active listening skills and a empathetic approach to customer interactions.
- Proficiency in using computer systems, navigating multiple applications simultaneously, and strong typing skills.
- Demonstrated ability to problem-solve and make sound decisions under pressure.
- High school diploma or GED equivalent.
- Dedicated home office space free from distractions with reliable internet connection and a conducive work environment.
Preferred Qualifications
- Bachelor's degree in a related field.
- Previous experience in the healthcare or health insurance industry.
- Familiarity with medical terminology and health insurance regulations.
- Bilingual proficiency (English/Spanish) is a plus.
- Experience working in a remote or work-from-home capacity.
Perks & Benefits
- Comprehensive medical, dental, and vision insurance plans.
- 401(k) retirement savings plan with company match.
- Generous paid time off (PTO) and paid holidays.
- Life insurance and disability coverage.
- Opportunities for career growth and professional development.
- Employee assistance program (EAP).
- Home office equipment stipend.
- Wellness programs and resources.
How to Apply
To apply for this rewarding opportunity, please click on the application link below. You will be redirected to our careers portal where you can submit your resume and complete the application process. We look forward to reviewing your qualifications and potentially welcoming you to the UnitedHealthcare team!