Led initiatives to exceed sales targets while fostering exceptional customer service standards.,Cultivated relationships by identifying customer needs and delivering customized solutions.,Adapted strategies in fast-paced environments to enhance client communication.,Managed sales processes and product descriptions to improve market positioning.,Developed customer engagement and negotiation strategies to drive business growth.
Provide exceptional customer care... Medicaid/D-SNP... coordinate appointments, resolve medical and pharmacy claims, outbound calls, HIPAA compliance, problem-solving.
• Provide exceptional customer care and serve as a dedicated advocate for UnitedHealthcare members.
• Assist members with Medicaid and Dual Complete Special Needs Plans (D-SNP), helping them understand and maximize their Medicaid and Medicare benefits.
• Schedule appointments and coordinate care by contacting healthcare providers, primary care physicians, and specialists.
• Research and resolve medical and pharmacy claims, ensuring timely and accurate solutions.
• Help members find, change, or establish primary care physicians (PCPs) and locate in-network specialists.
• Make outbound calls to members and providers to follow up on cases and ensure complete resolution.
• Use strong problem-solving and critical-thinking skills to provide immediate, effective solutions to member concerns.
• Deliver compassionate, high-quality customer service while maintaining HIPAA compliance and confidentiality.
• Build positive relationships with members by providing clear communication, active listening, and personalized support.