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Workers Compensation Claims Advocate (Bilingual Spanish)

UnitedHealth Group

UnitedHealth Group

Workers Compensation Claims Advocate (Bilingual Spanish)

Las Vegas, NV
Full Time
Paid
  • Responsibilities

    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. Under minimal supervision, the WORKERS COMPENSATION CLAIMS ADVOCATE (BILINGUAL SPANISH) is responsible for providing expertise and telephonic customer service to injured employees. The Claims Advocate will assist the Claims Adjuster and/or Managed Care Organization with the administration of the workers compensation claims and coordination of benefits and medical care.

    PRIMARY RESPONSIBILITIES:

    • Direct phone-based customer interaction with injured employees. The Claims Advocate is required to contact injured employees by telephone within 1 business day of notice of injury to inform and explain to the employee what to expect during the workers' compensation process.
    • The Advocate will diary and make follow up contacts with the injured employees.
    • Resolve or assist in the resolution of simple to complex issues. The Advocate will make recommendations on services and will routinely work closely with the Claims Adjuster to expedite problem resolution for the injured employee.
    • Acts as a technical resource and point of contact for the injured employees. The Claims Advocate will answer questions and provide customer service to injured employees.
    • Plan, prioritize, organize and complete work to meet established objectives.
    • Document discussions and all other activity in the claims system.
    • Other duties may include administrative support including the preparation and distribution of correspondence.

    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.

  • Qualifications

    REQUIRED QUALIFICATIONS:

    • High School Diploma / GED (or higher)
    • Bilingual English and Spanish
    • 2+ years customer service experience
    • Intermediate proficiency with Word (create and edit documents)
    • Intermediate proficiency with Excel (create and edit spreadsheets)
    • Intermediate proficiency with Outlook (create, send and save emails)

    PREFERRED QUALIFICATIONS:

    • 3+ years of customer service experience
    • 1+ years of compensation experience

    SOFT SKILLS:

    • Ability to multi-task and understand multiple products and multiple levels of benefits within each product
    • Excellent oral and written communication skills required
    • Excellent analytical and problem solving skills required

    PHYSICAL AND WORK ENVIRONMENT:

    • Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
    • Office environment

    CAREERS AT UNITEDHEALTHCARE EMPLOYER AND 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 is your life's best work.

    Diversity creates a healthier atmosphere: 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.

  • Industry
    Hospital and Health Care
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.