30 days old

Bilingual (Korean / English) Service Account Manager Associate - Buena Park, CA

Buena Park, CA 90621
  • Job Code

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 doing your life's best work.SM


The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility and claims issues and to assist with plan selection and enrollment. This role is expected to identify opportunities to connect members to the best resources to meet their healthcare needs and provide support in order to resolve medical and benefits issues on behalf of a member. The Service Account Manager Associate builds trust with members across their health care lifecycle.


Primary Responsibilities:

  • Provide in language service to Korean and English speaking customers

  • Own problem-solving through to resolution on behalf of the member in real time or through comprehensive and timely follow - up with the member

  • Respond to and resolve on the first walk - in, customer service inquires and issues by identifying the topic and type of assistance the customer needs such as benefits, eligibility and claims, financial spending accounts and correspondence.

  • Resolve member service inquiries related to: 

  • Terminology and plan design

  •  Financial spending accounts

  • Pharmacy benefits, eligibility and claims

  • Correspondence requests and Medical benefits, eligibility and claims

  • 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

  • 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

  • Make outbound calls for various events organized by the team for higher event participation, successful member onboarding

  • Provide pre-sales consultation and enrollment to walk-in prospects that are interested in our Medicare products

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.


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/



Posted: 2020-09-22 Expires: 2020-11-20

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Bilingual (Korean / English) Service Account Manager Associate - Buena Park, CA

UnitedHealth Group
Buena Park, CA 90621

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