Correspondence Representative

JOB REQUIREMENTS: UMR, UnitedHealthcares third-party administrator
(TPA) solution, is the nations largest TPA. When you work with UMR,
what you do matters. Its that simple . . . and its that rewarding.
In providing consumer oriented health benefit plans to millions of
people; our goal is to create higher quality care, lower costs and
greater access to health care. Join us and you will be empowered to
achieve new levels of excellence and make a profound and personal impact
as you contribute to new innovations in a vital and complex system.
Opportunities are endless for your career development and advancement
within UMR due to our record-breaking growth. Regardless of your role at
UMR, the support you feel all around you will enable you to do what you
do with energy, quality, and confidence. So, take the first step in what
is sure to be a fast paced and highly diversified career. This position
is full-time (40 hours/week) Monday Friday. Employees are required to
have flexibility to work any of our 8-hour shift schedules during our
normal business hours of (7:00am 5:00pm CST).It may be necessary, given
the business need, to work occasional overtime. Our office is located
at115 W WAUSAU AVE. Wausau, WI. This will be on the job training and the
hours during training will be 7:00am 5:00pm CST, Monday Friday. Primary
Responsibilities: Provide an exceptional customer service experience
when responding to and resolving 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 Updating information on member files within CPS system
(claims processing system, OnBase) Research complex issues (such as
Medical, Dental, Flex Spending, etc.) across multiple databases and work
with support resources to resolve customer issues and/or partner with
others to resolve escalated issues Own issue through to resolution on
behalf of the member/provider requests that are received Apply creative
solutions and effective problem-solving techniques to address
members/provider needs Address complex issues with an awareness of when
to refer complicated situations to various departments or leadership for
further assistance Searching system for member information variety of
systems (example: Explanation of benefits, reviewing call track
information, appeals invoicing, check/payment tracking) Process medical
record payments Manually entering in various types of claims (medical,
dental, vision) Creating various correspondence to be mailed Running
various reports systems Cross train and work in all processes when
needed Other duties as assigned Repetitive movements including siting,
stand, kneel, and reaching Youll 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 (or higher) OR 10 years of
equivalent work experience Must be 18 years of age OR older 1 years of
experience working in an office or professional setting Ability to
navigate a PC to open multiple applications, send emails, conduct data
entry, and learn new and complex computer system applications, as well
as using dual monitors Ability to work any of our 8-hour shift schedules
during our normal business hours of 7:00am 5:00pm CST. It may be
necessary, given the business need, to work occasional overtime.
Preferred Qualifications: Proficiency in Microsoft Office Suite Word
(ability to create, edit, copy, send and save documents) Proficiency in
Microsoft Office Suite Excel (ability to create, edit, copy, send and
save spreadsheets) Proficiency in Microsoft Office Suite Outlook
(ability to create, edit, copy, send correspondence) Familiarity with
medical terminology, health plan d cuments, or benefit plan design Trans
OTHER EXPERIENCE AND QUALIFICATIONS: Office Experience Data
Entry Excel APPLICATION INSTRUCTIONS: Apply Online:
https://uhg.hr/Wausau2024