Enrollment Eligibility Representative - Lexington, KY

Company: UnitedHealthcare
Location: Lexington
Posted on: June 24, 2025

Job Description:

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. This position is full time (40hours/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. Our office is located at 230 LEXINGTON GREEN, Suite 400, Lexington, KY 40503. 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. - Calculation of disability benefits 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 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. 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 The hourly range for this role is $16.88 to $33.22 per hour / annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law 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, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. RPO RED RPOLinkedIn

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