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Enrollment Eligibility Representative

2 months ago

Lexington, United States PSov9qqRblALNW Full time

UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR, what you do matters. It‘s that simple . . . and it‘s that rewarding. 

In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR  due to our record-breaking growth. 

Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career. 

This position requires technical background in AS400 systems and experience with billing and customer service skills. Requires a lot of data entry, working with numbers and worksheets, identifying, and working through specific billing discrepancies, written correspondence, in addition to working in a workgroup call queue for customer service inquiries. Experience working with ERISA compliant benefit funds is a plus.

This position is full-time in office. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM EST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 230 LEXINGTON GREEN, Suite 400, Lexington, KY 40503

We offer weeks of on-the-job training. The hours of training will be aligned with your schedule.

Primary Responsibilities:

  • Administration of Pension Benefits
  • Collection of data from pension participants to determine eligibility and vesting schedule.
  • Answer questions via telephone and email to convey information regarding the provisions of the pension plans.
  • Create various types of members or employer correspondence including letters and emails.
  • Collection and data entry of participant hours worked and contribution amounts.
  • Handle processing of monthly pension check processing and mailing
  • Calculate projections and contribution requirements.
  • Prepare, process, and maintain retiree election forms, beneficiary forms, and eligibility calculations.
  • Analytical and Researching techniques.
  • Reconcile reports and payment discrepancies, analyze transactional data,
  • Perform basic clerical functions with proficient PC and Excel Skills
  • Initiate and assist with developments/changes to increase or change quality and productivity.

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.

Required Qualifications:   

  • High School Diploma / GED or equivalent work experience
  • Must be 18 years or older.
  • 1+ years of experience working with billing reconciliation, posting deposits, and accounts receivable
  • 1+ years of experience in an office call center setting using the telephone and computer as the primary instruments for analyzing and solving customer problems and inquiries
  • Experience using Microsoft Excel (ability to create, edit, save, send, sort, filter, enter data, and use basic formulas in spreadsheets)
  • Experience with Microsoft Windows, including mouse and keyboard skills (data entry, open documents, save documents) including the ability to learn new and complex computer system applications.
  • Ability to work full-time in office. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM EST. It may be necessary, given the business need, to work occasional overtime or weekends.

Preferred Qualifications:

  • 1+ years of experience in finance / accounting area
  • Experience using AS400.
  • Experience of Taft - Hartley Administration
  • Experience with reconciling bank accounts
  • Experience working with ERISA Compliant Benefit Funds
  • Experience working with healthcare insurance enrollment / eligibility.
  • Experience with pension plan administration and state and federal tax filings

Soft Skills:

  • Experience with working in a fast - paced multi - tasking environment
  • Detail Oriented, Quick Learner, Team Oriented
  • Good written and verbal communication skills
  • Good mathematical skills
  • Flexible
  • Self-Motivated
  • Strong organizational skills

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. 

  

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. 

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