Customer Service Representative

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. As a Customer Service Representative, you will assist in processing medications related to workers' comp claims by providing outstanding customer service to pharmacies, insurance carriers, and injured workers.

Responsibilities:

• Handle inbound and outbound calls and emails with pharmacies, injured workers, case managers, and payers regarding workers' compensation claims and prescription fulfillment
• Resolve customer inquiries efficiently using multiple systems, with a strong focus on first-call resolution and timely follow-up
• Communicate clearly and professionally to build positive relationships with clients, patients, and pharmacy partners
• Document interactions accurately and manage multiple priorities, including supporting additional business needs as assigned
• Meet performance expectations for efficiency, quality, customer satisfaction, attendance, and policy adherence
• Maintain strict compliance with patient privacy and confidentiality requirements, including HIPAA

Requirements:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as primary job tools
• Experience using computer and Windows PC applications, including keyboard and navigation skills, in addition to quickly and easily learning new and complex systems
• Ability to work a set 8 hour shift Tuesday - Saturday during our business hours of 11:00 am to 8:00 pm EST
• Some holiday shifts are required
• Health care experience
• Capable of troubleshooting computer issues in a virtual work environment before working with IT support