1+ months

Bilingual (Korean / English) Service Account Manager Associate - Buena Park, CA - 880441

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/

Required Qualifications:


  • High"School Diploma / GED (or higher)

  • Bilingual"fluency in Korean and English

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

  • California"Health License or the ability to obtain license within 30 days of employment

  • Ability"to navigate a computer

  • Ability"to navigate through multiple programs including Microsoft Excel (create"spreadsheets), Microsoft Word (update documents), Microsoft Outlook (create,"send email), and Microsoft Powerpoint (create and edit presentations)

  • Ability"to travel (up to 10%) to other sites locally within 25 miles based off of"business need


Preferred Qualifications:


  • Bachelor's"degree (or higher)

  • Experience"in Health Care / Insurance environment (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

  • Ability"to successfully complete UnitedHealthcare Operations CCP new hire training and"demonstrated proficiency and successfully complete UnitedHealthcare Operations"Customer Service Advocate training classes upon hire


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


Physical Work Environment:


  • Able to"lift 30 lb boxes


Careers"at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we"do. Sometimes we're presented with an opportunity to make a difference on a"scale we couldn't imagine. Here, you get that opportunity every day. As a"member of one of our elite teams, you'll provide the ideas and solutions that"help nearly 25 million customers live healthier lives. You'll help write the"next chapter in the history of healthcare. And you'll find a wealth of open"doors and career paths that will take you as far as you want to go. Go further."This is your 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"Group is a"drug - free workplace. Candidates are required to pass a drug test before"beginning employment.



Keywords:"UnitedHealth Group, UnitedHealth Care, Health Care, Sales, Medicaid,"Retirement, Bilingual, Korean, Language, customer service, California Health"License


Posted: 2020-11-03 Expires: 2021-02-21

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 - 880441

UnitedHealth Group
Buena Park, CA 90621

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