Bilingual Chinese Speaking Customer Service Representative

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doingyour life's best work.

Primary Responsibilities:

• Resolve member service inquiries related to:

• -Medical benefits, eligibility and claims

• -Terminology and plan design

• -Financial spending accounts

• -Pharmacy benefits, eligibility and claims

• -Correspondence requests

• -Educate members about the fundamentals of health care benefits including:

• -Managing health and well being

• -Maximizing the value of their health plan benefits

• -Selecting the best health plan to meet their health needs

• -Choosing a quality care provider and appointment scheduling

• -Premium provider education and steerage

• -Pre-authorization and pre-determination requests and status

• -Assist members in appointment scheduling to proactively address gaps in care

• -Intervene with care on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance when needed

• -Research complex issues across multiple databases and work with support resources to own the resolution of all customer issues and anticipate their future healthcare needs or potential opportunities to improve the experience

• -Ability to overcome objections and persuade members to take action / change behavior

• -Ability to use analytical thought process to dissect complex claim issue, and complete appropriate steps to resolve identified issues/or partner with others to resolve escalated issues

• -Provide education and status on previously submitted pre-authorizations or pre-determination requests

• -Meet the performance goals established for the position in the areas of: efficiency, call quality, customer satisfaction, first call resolution and attendance

• -Maximizes use of community services, support programs, and resources available to members

Requirements

To be considered for this position, applicants need to meet the qualifications listed in this posting.

Requirements:

• -High School Diploma or GED

• -1+ years in a Customer Service environment (proven customer service skills and experience working in retail, call centers, or any other professional setting)

• -Upon hire you must successfully complete of UnitedHealthcare Operations CCP new hire training and demonstrated proficiency required. -This role will also be required to successfully complete the UnitedHealthcare Operations Customer Service Advocate training classes and demonstrate proficiency of the material

• -Bilingual fluency (verbal and written) in Chinese (both Cantonese and Mandarin) , and English required

Assets:

• -Associate degree (or higher) preferred

• -Experience in Health Care / Insurance environment, preferred (Familiarity with medical terminology, health plan documents, or benefit plan design)

-Previous experience in translating healthcare-related jargon and complex processes into simple, step-by-step instructions customers can understand and act upon

Soft Skills:

• -Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations (responding in respectful, timely manner and delivering on commitments)

• -Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the member

• -Ability to overcome objections and persuade members to take action / change behavior

• -Ability to utilize multiple systems/platforms while on a call with a member – strong computer skills and technical aptitude

• -Proficient problem solving approach to quickly assess current state and formulate recommendations

• -Flexibility to customize approach to meet all types of member communication styles and personalities

• -Excellent conflict management skills including:

• -Professionally and adeptly resolve issues while under stress

• -Diffuse conflict and member distress

• -Demonstrate personal resilience

• -Strong verbal and written communication skills. Solid time management skills

• -Strong attention to detail

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can doyour life's best work.SM

Diversity creates a healthier atmosphere: UnitedHealth Group 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.

UnitedHealth Groupis a drug-free workplace. Candidates are required to pass a drug test before beginning employment.