empr install representative - sme - Taguig city, ncrUnitedHealth Group
The Case Installations Account Service Representative performs employer benefit plan design coding to assigned accounts, including, but not limited to: structure building and revisions, and researching and resolving structure issues.
Position in this function are responsible for the installation of assigned accounts, including, but not limited to: structure building and billing set up, structure revisions, researching & resolving structure issues, database loading, and preparation of plan materials such as administrative documents and customer education materials. Positions are responsible for overall employer contract loading using various databases and/or source documents. May research installation issues & develop customer specific resolutions. May include auditing contract loads for adherence to quality measures and reporting standards.
Primary Responsibilities:
Perform generation of plan documents, including but not limited to, Summary Plan Descriptions (SPD), amendments, and Summary of Benefits & Coverage (SBC)
Use supporting documents (work orders, installation documents) to ensure our system is coded correctly and plan documents that are generated are accurate
Adhere to departmental guidelines and processes put in place for these tasks
Become familiar with current policies and procedures and other reference material
Provide feedback and explanation in a positive and professional manner
Work in a team environment while demonstrating individual accountability
Perform other duties as assigned
Work is frequently completed without established procedures
Works independently
May act as a resource for others
May coordinate others' activities
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
Required Qualifications:
An education level of at least a high school diploma or GED
Extensive work experience within own function
Communication with multiple areas regarding benefit intent
Ability to produce high quality work while meeting productivity expectations
Proven to be proactive, self- motivated, detailed oriented, and work with minimal supervision or support
Demonstrate effective time management skills to effectively plan, organize, set priorities, meet deadlines and handle multiple work assignments
Proficiency with computer and Windows PC applications
Intermediate level of Microsoft Excel
Preferred Qualifications:
Knowledge/experience of medical and/or dental products
Proficiency with MS Word
Excellent interpersonal skills
Demonstrate strong oral and written communication skills
Strong organizational skills with the ability to prioritize caseload based on business needs as well as ability and willingness to accept and work in a new and changing environment
Physical Requirements and Work Environment:
Frequent speaking, listening using a headset, sitting, use of hands/fingers across keyboard or mouse, handling other objects, and long periods working at a computer
Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity
Ability to work a 5 day week, 8 hour shift, any time between office hours of operation
Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Optum is a drug-free workplace. © 2022 Optum Global Solutions (Philippines) Inc. All rights reserved.
Job Keywords: Empr Install Representative, SME, Subject Matter Expert, Taguig City, NCR, National Capital Region
UnitedHealth Group
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Full-time
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