Enrollment Eligibility Representative

Union-Sponsored Benefits Administrator

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.

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 8am - 5pm EST. It may be necessary, given the business need, to work occasional overtime.

Primary Responsibilities:

• Administration of union-sponsored benefits, including health and welfare, pension and others
• Collection of data from participants to determine eligibility
• Answer questions via telephone and email to convey information regarding the provisions of the pension and health and welfare plans
• Create various types of members or employer correspondence including letters and emails
• Collection and data entry of participant hours worked and contribution amounts
• Handle processing of monthly check processing and mailing
• Analytical and researching techniques
• Reconcile reports and payment discrepancies, analyze transactional data
• Perform basic clerical functions with proficient PC and Excel skills
• Initiate and assist with developments/changes to increase or change quality and productivity

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 / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience working with billing reconciliation, posting deposits, and accounts receivable
• 1+ years of experience in an office setting using the telephone and computer as the primary instruments for analyzing and solving customer problems and inquiries
• Experience using Microsoft Excel (ability to create, edit, save, send, sort, filter, enter data, and use basic formulas in spreadsheets)
• Experience with Microsoft Windows, including mouse and keyboard skills (data entry, open documents, save documents) including the ability to learn new and complex computer system applications
• Must work on-site at the office located at 230 LEXINGTON GREEN, Suite 400, Lexington, KY 40503
• Ability to work our normal business hours of 8:00 AM - 5:00 PM EST. It may be necessary, given the business need, to work occasional overtime or weekends
• Must reside within 90 miles of the office location 230 LEXINGTON GREEN, Suite 400, Lexington, KY 40503

Preferred Qualifications:

• Experience in finance/accounting area
• Experience using eligibility software
• Experience of Taft-Hartley or Union Benefit Administration
• Experience with reconciling bank accounts
• Experience working with ERISA compliant benefit funds
• Experience working with healthcare insurance enrollment/eligibility

Soft Skills:

• Experience with working in a fast-paced multi-tasking environment
• Detail Oriented, Quick Learner, Team Oriented
• Good written and verbal communication skills
• Good mathematical skills
• Flexible
• Self-Motivated
• Strong organizational skills

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $17.74 - $31.63 per hour based on full-time employment.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone deserves the opportunity to live their healthiest life. UnitedHealth Group is an Equal Employment Opportunity employer and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.