Customer Service Advocate

Posted 2 Hours Ago
Be an Early Applicant
Fort Wayne, IN, USA
In-Office
18-32 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Respond to and resolve health plan member questions about benefits, eligibility, claims, spending accounts, and correspondence. Educate customers on benefit options and provider selection, assist with appointment scheduling and specialist connections, and guide members through UnitedHealthcare websites. The role requires researching complex issues across multiple databases while handling 50–70 calls daily, maintaining compassionate communication, and completing nine weeks of mandatory paid training.
Summary Generated by Built In
Requisition Number: 1062922
This position is Remote in the state of Indiana. You will have the flexibility to work remotely* as you take on some tough challenges.
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
This is a full-time position (40 hours per week), Monday through Friday. Employees must be available to work an 8-hour shift scheduled between 7:00 AM and 7:00 PM CST. Based on business needs, occasional overtime may be required. In addition, weekend work may be required during the annual peak period from January 1 through April 1.
We offer 9 weeks of paid training. The hours during training will be 8:30am- 5:00pm CST Monday - Friday. 100% attendance is required during training. Training will be on camera.
Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.
Primary Responsibilities:
  • Respond to and resolve, on the first call, customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
  • Help guide and educate customers about the fundamentals and benefits of consumer-driven health care topics to select the best benefit plan options, maximize the value of their health plan benefits and choose a quality care provider
  • Contact care providers (doctor's offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance
  • Assist customers in navigating myuhc.com and other UnitedHealth Group websites and encourage and reassure them to become self-sufficient

This role is equally challenging and rewarding. You'll be called on to research complex issues pertaining to the caller's health, status and potential plan options. To do this, you'll need to navigate across multiple databases which require fluency in computer navigation and toggling while confidently and compassionately engaging with the caller.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 1+ years of phone-based customer service or call center experience
  • This position involves member calls, with an expected volume of 50 - 70 calls daily. It requires full attention to work duties. Employees in this role must ensure they have uninterrupted work time during their shifts, except for scheduled breaks and lunch periods
  • Experience with Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
  • Ability to work full-time position (40 hours per week), Monday through Friday. Employees must be available to work an 8-hour shift scheduled between 7:00 AM and 7:00 PM CST. Based on business needs, occasional overtime may be required. In addition, weekend work may be required during the annual peak period from January 1 through April 1.

Preferred Qualifications:
  • Health Care/Insurance environment (familiarity with medical terminology, health plan documents, or benefit plan design)
  • Social work, behavioral health, disease prevention, health promotion and behavior change (working with vulnerable populations)
  • Sales or account management experience
  • Experience with PC based software programs and automated database management systems; Microsoft Excel (create, edit, sort, pivot spreadsheets), Microsoft Word (create & edit documents), Microsoft PowerPoint (create & edit presentations)

Telecommuting Requirements:
  • Reside within the state of Indiana
  • Ability to keep all company sensitive documents secure (if applicable)
  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $18 - $32 hourly based on full-time employment. We comply with all minimum wage laws as applicable.
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.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO

Skills Required

  • High school diploma, GED, or equivalent work experience
  • Must be at least 18 years old
  • At least 1 year of phone-based customer service or call center experience
  • Ability to handle approximately 50–70 member calls daily with full, uninterrupted attention during work hours
  • Experience with Windows PC applications and ability to navigate and learn complex computer systems
  • Ability to work full time, 40 hours per week, Monday through Friday, with shifts scheduled between 7:00 AM and 7:00 PM CST
  • Ability to work occasional overtime and weekends during the January 1 through April 1 peak period
  • Residence within the state of Indiana
  • Ability to complete nine weeks of paid training with 100% attendance and on-camera participation
  • Ability to secure company-sensitive documents and maintain a dedicated private work area
  • Access to an approved wired high-speed internet connection meeting the stated minimum speed requirements
  • Familiarity with a healthcare or insurance environment, medical terminology, health plan documents, or benefit plan design
  • Experience in social work, behavioral health, disease prevention, health promotion, or behavior change with vulnerable populations
  • Sales or account management experience
  • Experience with PC-based software and automated database management systems
  • Microsoft Excel experience, including creating, editing, sorting, and pivoting spreadsheets
  • Microsoft Word experience creating and editing documents
  • Microsoft PowerPoint experience creating and editing presentations
  • Ability to pass a pre-employment drug test

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Parental & Family Support Paid parental leave (six weeks), paid caregiver leave (up to two weeks), Bright Horizons back-up care, and adoption assistance up to $10,000 are prominently included. Feedback suggests these family supports meaningfully aid work-life balance and are often highlighted as strengths.
  • Retirement Support A 401(k) with company match is available to all employees, including part-time staff, alongside other financial protections like disability and life insurance. Feedback suggests broad access and matching make retirement support a core pillar of the package.
  • Equity Value & Accessibility An Employee Stock Purchase Plan offers discounted company stock, with some roles also eligible for sign-on or performance bonuses. Feedback suggests the ESPP is a standout financial perk that helps employees build ownership over time.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
Metro Manila, Philippines
Cebu, Philippines
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Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
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Houston, TX
Hyderabad, India
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Madison, WI
Minneapolis, MN
Nashville, TN
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Philadelphia, PA
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Raleigh, NC
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Washington, DC
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