Senior Customer Service Representative

Posted 17 Minutes Ago
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Cypress, CA, USA
In-Office
18-32 Hourly
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Provides phone-based customer support to 50–70 callers daily, identifies needs, resolves complex issues, documents interactions, and coordinates with internal resources. The representative handles case updates, preauthorization inquiries, digital-resource guidance, de-escalation, and first-contact resolution. As a senior team resource, the role supports colleagues and reinforces best practices while meeting quality, customer satisfaction, schedule adherence, and attendance goals. The position is fully remote, includes virtual training, and requires flexible Monday–Saturday scheduling.
Summary Generated by Built In
Requisition Number: 1063730
This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
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 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.
As a Senior Customer Service Representative, you'll compassionately deliver an exceptional experience to 50 - 70 callers per day while providing guidance and support to fellow team members as a trusted resource or subject matter expert. You'll identify customer needs, resolve complex issues, build strong relationships, and consistently deliver an experience that reflects integrity, accountability, and exceptional service.
This position is full-time (40 hours/week) Monday - Saturday. Employees are required to have flexibility to work on any assigned 8- to 10-hour shift schedules between 6:50 am and 11:00 pm EST. PTO blackout periods apply during January and April peak seasons. It may be necessary, given the business need, to work occasional overtime and holidays as needed. Final shifts are assigned after training.
We offer 5 - 7 weeks of paid training. The hours during training will be 9:00 am to 5:00 pm EST, Monday - Friday for the first 5 - 7 weeks. Training will be conducted virtually from your home.
Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.
Primary Responsibilities:
  • Answer incoming phone calls from customers and identify the type of assistance needed
  • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
  • Research complex issues across multiple systems and collaborate with support resources or internal partners to identify appropriate resolutions
  • De-escalate calls and resolve complex customer issues with a focus on first contact resolution
  • Take ownership of customer issues through resolution, either in real time or through comprehensive and timely follow-up
  • Provide education and status updates on previously submitted cases, pre-authorizations, or pre-determination requests
  • Assist customers in navigating UnitedHealth Group digital resources and provide guidance that promotes self-service when appropriate
  • Provide guidance and support to team members by sharing knowledge, reinforcing best practices, and assisting with complex customer inquiries
  • Meet established performance goals in areas including, but not limited to, schedule adherence, quality, customer satisfaction, first contact resolution, and attendance
  • Other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction 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
  • Must be 18 years of age OR older
  • 6+ months of customer service experience in any environment
  • Experience with computers and Windows PC applications, including the ability to learn new and complex systems
  • Ability to work full-time (40 hours/week) Monday - Saturday. Employees are required to have flexibility to work on any assigned 8- to 10-hour shift schedules between 6:50 am and 11:00 pm EST. PTO blackout periods apply during January and April peak seasons. It may be necessary, given the business need, to work occasional overtime and holidays as needed. Final shifts are assigned after training

Preferred Qualifications:
  • Customer service experience in healthcare, financial services, insurance, or another regulated industry
  • Bilingual fluency in English and Spanish

Telecommuting Requirements:
  • Ability to maintain a reliable, hardwired internet connection capable of supporting business operations; wireless connections are not permitted
  • Ability to maintain the security and confidentiality of company-sensitive information
  • Ability to comply with attendance, timekeeping, information security, privacy, and HIPAA requirements
  • Ability to maintain a safe, secure, and distraction-free work environment

Important: Telecommuting is a business privilege and may be modified, suspended, or revoked if operational, compliance, performance, attendance, security, or connectivity requirements are not met. Telecommuting is not a substitute for dependent care arrangements.
*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 hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required

  • High school diploma or GED
  • At least 18 years of age
  • At least 6 months of customer service experience
  • Experience with computers and Windows PC applications, including ability to learn complex systems
  • Availability to work full-time, 40 hours per week, Monday through Saturday, with assigned 8- to 10-hour shifts between 6:50 a.m. and 11:00 p.m. EST
  • Ability to work occasional overtime and holidays as needed
  • Reliable hardwired internet connection capable of supporting business operations; wireless connections are not permitted
  • Ability to maintain security and confidentiality of company-sensitive information
  • Ability to comply with attendance, timekeeping, information security, privacy, and HIPAA requirements
  • Ability to maintain a safe, secure, and distraction-free remote work environment
  • Customer service experience in healthcare, financial services, insurance, or another regulated industry
  • Bilingual fluency in English and Spanish

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — Paid time off is often regarded as generous, with meaningful accrual and flexibility to use it. While practices can vary by team, the overall time-off offering stands out as a relative strength.
  • Retirement Support — A 401(k) plan with employer matching is available and generally well-regarded for supporting long-term savings. It remains valuable, though candidates should verify the current match formula.
  • Parental & Family Support — Programs such as parental leave, family medical leave, and adoption assistance are included as notable elements of the total rewards package. These resources can meaningfully support work-life balance when applicable to the role and location.

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
Davao, Philippines
Ann Arbor, MI
Atlanta, GA
Baltimore, MD
Bengaluru, India
Chennai, India
Dallas, TX
Detroit, MI
Dublin, Ireland
Hartford, CT
Houston, TX
Hyderabad, India
Jacksonville, FL
Las Vegas, NV
Letterkenny, Ireland
Louisville, KY
Madison, WI
Minneapolis, MN
Nashville, TN
New Delhi, India
Philadelphia, PA
Phoenix, AZ
Pune, India
Raleigh, NC
San Diego, CA
Washington, DC
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