Note: The job is a remote job and is open to candidates in USA. Optum is a people-first organization committed to delivering exceptional customer service. As a Customer Service Representative, you will assist in processing medications related to workers' compensation claims by handling inbound calls and providing support 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
Skills
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of recent experience in a call center environment
- 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 full-time, Tuesday - Saturday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 11:00am - 8:00pm EST. It may be necessary, given the business need, to work occasional overtime
- Health care experience
- Capable of troubleshooting computer issues in a virtual work environment before working with IT support
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
Company Overview
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group. It was founded in 2011, and is headquartered in Eden Prairie, Minnesota, USA, with a workforce of 10001+ employees. Its website is https://www.optum.com/.Company H1B Sponsorship
Optum has a track record of offering H1B sponsorships, with 73 in 2026, 648 in 2025, 559 in 2024, 620 in 2023, 851 in 2022, 593 in 2021, 438 in 2020. Please note that this does not guarantee sponsorship for this specific role.