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 Bilingual (Spanish / English) Customer Service and Claims Representative - - San Antonio, Texas, 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: Spanish - Fluent
Minimum education: See below 
Minimum years experience: See below 
Resumes accepted in: English
Cover letter: No cover letter requested
Job code: 719948391 / Latpro-3616463 
Date posted: May-25-2018
State, Zip: Texas, 78201


Cuando se trata
de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial
de carrera!

If you are located
within 50 miles of San Antonio, you will have the flexibility to telecommute* as
you take on some tough challenges. You like working with people. Even more so,
you like helping them. This is your chance to join a team dedicated to helping
our members and their families every day. In this joint role as aBilingual (Spanish/English) Customer Service and Claims
Representative, you'll join us on a mission to not only deliver the best
customer service in the health care industry, but the best customer service.
Period. Your compassion and customer service expertise combined with our
support, training and development will ensure your success. This is no small
opportunity. This is where you can bring your compassion for others while
doingyour life's best

*All Telecommuters will be required to adhere to
UnitedHealth Groups Telecommuter Policy.

In this role, you
play a critical role in creating a quality experience for the callers that you
connect with and those that you correspond with. Every interaction gives you
that opportunity to improve the lives of our customers and exceed their
expectations. You'll spend the majority of your day by responding to calls from
our members and help answer questions and resolve issues regarding health care
eligibility, claims and payments. You'll also spend a portion of your time
reviewing, researching and processing healthcare claims with the goal to ensure
that every claim has a fair and thorough review.

To learn even more about this position, click here to watch a short video
about the job:
these videos are labeled with our internal job title of Customer First

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 (7am - 9pm). It may be necessary, given the business need, to work
occasional overtime or weekends. This will be a work at home / telecommute role
after training, which will be conducted onsite in our office at 12668 Silicon
Drive, San Antonio, TX 78249. It may be necessary to attend occasional meetings
onsite as well. Please review our telecommute requirements below.

Candidates must
reside within 50 miles of our office and be available to complete training
according to the following schedule:
Training Session 1, conducted in our office, with a duration of
8-9 weeks of classroom trainingWork from home for approximately 3 months Training Session 2, conducted in our office, with a duration of
4 weeks

Answer incoming phone calls from customers and identify the
type of assistance the customer needs (i.e. benefit and eligibility, billing and
payments, authorizations for treatment and explanation of benefits
(EOBs)Ask appropriate questions and listen actively to identify
specific questions or issues while documenting required information in computer
systemsOwn problem through to resolution on behalf of the customer in
real time or through comprehensive and timely follow-up with the
memberReview and research incoming healthcare claims from members and
providers(doctors, clinics, etc) by navigating multiple computer systems and
platforms and verifies the data/information necessary for processing (e.g.
pricing, prior authorizations, applicable benefits)Ensure that the proper benefits are applied to each claim by
using the appropriate processes and procedures (e.g. claims processing policies
and procedures, grievance procedures, state mandates, CMS/Medicare guidelines,
benefit plan documents/certificates)Communicate and collaborate with members and providers to
resolve issues, using clear, simple language to ensure understandingMeet the performance goals established for the position in the
areas of: efficiency, accuracy, quality, member satisfaction and


Spanish Bilingual RequiredPrefer 1 year experience in an office setting, call center
setting or phone support role, but not required Previous experience working at home/telecommuting is preferred,
but not requiredAn education level of at least a high school diploma or GED OR
10 years of equivalent working experienceDemonstrated ability in using computer and Windows PC
applications, which includes strong keyboard and navigation skills and learning
new computer programsAbility to multi-task duties as well as the ability to
understand multiple products and multiple levels of benefits within each
productAbility to work regularly scheduled shifts within our hours of
operation including the training period, where lunches and breaks are scheduled,
with the flexibility to adjust daily schedule, and work over-time and/or
weekends, as neededAll new hires will be required to successful complete the
Customer Service training classes and demonstrate proficiency of the

Reside within 50 miles of San Antonio, TX with the ability to
attend onsite trainingRequired to have a dedicated work area established that is
separated from other living areasRequired to have a work area in a section of the residence that
provides information privacyRequired to keep all Company sensitive documents
secureRequired to have lockable drawers for the securing of
confidential informationMust live in a location that can receive a UnitedHealth Group
approved high-speed internet connection or leverage an existing high-speed
internet service
There are several
steps in our hiring process - its a thorough process because we want to ensure
the best job and culture fit for you and for us. In todays ultra-competitive
job market, the importance of putting your best foot forward is more important
than ever. And you can start by completing all required sections of your
application. (i.e. profile, history, certifications and application/job
questions). Once you submit your resume, youll receive an email with next
steps. This may include a link for an on-line pre-screening test(s) (or what we
call an assessment) that we ask you to complete as part of our selection
process. You may also be asked to complete a digital video interview, but we
will offer full instructions and tips to help you. After you have completed all
of these steps, you can check on the status of your application at any time, but
you will also be notified via e-mail.

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 health care. 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 isyour life's
best work.SM
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.
Group is a drug-free workplace. Candidates are required to pass a drug test
before beginning employment.

Keywords: customer
service representative, customer service, CSR, UnitedHealth Group, call center,
UnitedHealthcare, health care, office, phone support, training class,
work at home, telecommute, WAH, San Antonio


See job description.


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