
Dynamic customer service professional with extensive experience at United Healthcare, excelling in claims resolution and member engagement. Proven ability to enhance customer satisfaction through effective communication and conflict resolution. Adept at utilizing Microsoft Office Suite to streamline processes and improve service delivery, ensuring optimal health outcomes for clients.
• Provide benefit and eligibility information
• Resolve claims and billing inquiries
• Help members find a provider and schedule appointments
• Promote preventive care and identify any gaps in care
• Ensure connection with primary care provider
• Deliver network guidance
• Guide members on using online tools • Engage members in CARE opportunities with seamless transfers
• Coordinate with employer’s external vendors