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Job Details

Team Lead - US Health - San Juan, PR


Home Health


San Juan, Puerto Rico, United States

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Primary Responsibilities:

  • Problem resolution of customer issues and to communicate resolution to appropriate parties
  • Available, as scheduled, to respond to calls from customers regarding claims payments, benefits, eligibility, and certification issues
  • Investigate issues and document steps taken to achieve resolution
  • Handle and resolve escalated issues when appropriate
  • Meet departmental standards for production and quality
  • Meet departmental standards for schedule adherence
  • Participate in training and self-development opportunities when appropriate
  • Demonstrate a cooperative, positive attitude in the workplace
  • Demonstrate a basic knowledge of managed healthcare and claims

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our providers over the phone. You also must be able to work a flexible schedule that includes evening hours

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.

Required Qualifications:

  • High School Diploma
  • 1+ years of Call Center or Customer Service experience
  • 6+ months of experience as a SME, Team Lead, Trainer or Supervisor
  • Proficient in MS Office with solid computer skills (e.g. multiple systems experience, keyboarding skills, trouble-shooting IT concerns, Microsoft Excel, MPP, Microsoft Project, OneNote)
  • Computer savvy (able to navigate folders, documents, internet-based applications, etc.)
  • Bilingual Spanish and English
  • Ability to work 40 hours / week during standard business operating hours Monday - Sunday from 6am - 12am EST

Preferred Qualifications:

  • Experience working within the health care Industry and with health care insurance
  • Experience working in a hospital, physician's office or medical clinic setting

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.