Correspondence Representative Senior

This position is Onsite. Our office is located at 115 W WAUSAU AVE. Wausau, WI. 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. Put it all together - a highly competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: 18 days of Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement - up to $5,250 per calendar year for job-related coursework Adoption Assistance Plan Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) On-site Fitness facility More information can be downloaded at: Health insurance plans | UnitedHealthcare 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 (7:00am - 5:00pm CST). It may be necessary, given the business need, to work occasional overtime.

Provide an exceptional customer service experience by responding to and resolving customer inquiries and issues, identifying the topic and type of assistance needed, including benefits, eligibility and claims, financial spending accounts, and correspondence. Update member information within CPS systems, including claims processing systems and OnBase. Research complex issues related to Medical, Dental, Flexible Spending Accounts, Pharmacy, and other benefit areas across multiple databases, and collaborate with support resources to resolve customer issues or escalated concerns. Own customer and provider issues through resolution on behalf of the member or provider. Apply creative solutions and effective problem-solving techniques to address member and provider needs. Address complex issues and determine when to escalate situations to appropriate departments or leadership for additional support. Search multiple systems to obtain member information, including explanations of benefits, call tracking details, appeals, invoicing, and check/payment tracking. Process medical record payments. Enter various types of claims manually, including medical, dental, and orthodontic claims. Create correspondence for mailing. Run reports across various systems. Cross-train and support all operational processes as needed 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.

High School Diploma / GED Must be 18 years of age OR older 1+ years of experience working in an office or professional setting Capacity to navigate a PC to open multiple applications, send emails,