Note: The job is a remote job and is open to candidates in USA. Wipro is a technology services and consulting company focused on digital transformation solutions. The Customer Service Representative provides members with information and support regarding healthcare benefits, eligibility, claims, and related issues while resolving or routing inquiries and delivering compassionate service.
Responsibilities
- Understands the sensitivity and importance each call scenario presents and handles difficult situations diplomatically and with a professional demeanor
- Actively listens to understand the perspective of others
- Proactively identifies and pursues resolution of issues affecting customer service
- Receive, document, confirm, and resolve/route member, broker, and customer service issues to the appropriate cross-functional team for resolution
- Responds to incoming, telephonic, written or email inquiries from customers or providers regarding eligibility, benefits, claim status/issues, policies & procedures, reimbursement, claims filing and/or appeals/grievances
- May leverage service resources throughout UnitedHealth Group to effectively warm transfer calls to the appropriate area
- Meets or exceeds standards for accessibility, responsiveness, reliability and professionalism
- Meets or exceeds standard for productivity, quality, timeliness and accessibility
- Independently manages inquiry caseload to resolve inquiries in a timely, high-quality manner
- Contributes to high levels of member and client satisfaction by exhibiting timely responds to questions or issues, well developed communication skills and analytical approach to problem solving
Skills
- Work authorization: US Citizen or US Green Card only
- Employees are required to have flexibility to work any of our 8-hour shift schedules during our business hours of 10:00am – 8:00pm CST
- High School Diploma / GED OR equivalent work experience
- 1+ years of Customer Service Experience
- Ability to keep all company sensitive documents secure (if applicable)
- Customer Service
- 2+ years' industry experience in health care, preferably in a service role
- 1+ years of experience in a call center environment
- Data entry experience
- Experience with OnBase
- Experience with LeaveSource
- Experience with Microsoft Office
Benefits
- Remote work arrangement
- Wipro's standard benefits including a full range of medical and dental benefits options
- Disability insurance
- Paid time off (inclusive of sick leave)
- Other paid and unpaid leave options
Company Overview