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 Customer Service Advocate / Bilingual Chinese - Chinatown, NY - New York, New York, United States

Job information
Posted by: Employer and Individual 
Hiring entity type: Other 
Work authorization: Existing work authorization required for United States
Position type: Direct Hire, Full-Time 
Compensation: ******
Benefits: See below
Relocation: Not specified 
Position functions: Customer service & support
Travel: Unspecified 
Accept candidates: from anywhere 
Languages: English - Fluent
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 717900091 / Latpro-3569818 
Date posted: Sep-14-2017
State, Zip: New York, 10001


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 doing your life's best work. The purpose of this role is to interact with members regarding medical and pharmacy benefits, eligibility & 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 Customer Service Advocate builds trust with members across their health care lifecycle. Primary Responsibilities:

Provide in language service to Mandarin, Cantonese, and English speaking customers over the phone
Own problem through to resolution on behalf of the member in real time or through comprehensive and timely follow - up with the member
Effectively refers and enrolls members to appropriate internal specialists and programs, based on members needs and eligibility
Respond to and resolve on the first call, 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.
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
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


High School Diploma / GED or higher
Bilingual fluency (verbal and written) in Chinese (both Cantonese and Mandarin) 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
Upon hire you must successful completion of UnitedHealthcare Operations new hire training and demonstrated proficiency required. This role will also be required to successful complete the UnitedHealthcare Operations Customer Service Advocate training classes and demonstrate proficiency of the material
Ability to work regularly scheduled shifts within our hours of operation (Monday to Friday 9:00 AM to 8:30 PM EST), where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work overtime and / or weekends, as neededAssets:

Associate'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 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 Requirements and Work Environment:

Frequent speaking, listening using a headset, sitting, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computerCareers 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 do your life's best work.SMDiversity 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: UHG, UHC, customer service, Chinese, Mandarin, Cantonese, bilingual, service advocate


See job description.


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