Customer Service Representative - Empire

Logistics Coordinator Tues-Sat 6:00AM- 4:30PM EST ( Remote local to Miami )

UPS US · Centralia, WA

Explore Your Next Opportunity At UPS Healthcare Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion.If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level. Job Description Together, we are Marken, UPS Healthcare Precision Logistics. As the clinical and advanced therapy part of UPS Healthcare, we reach patients faster, with greater scalability and access to new pathways throughout the supply chain. With our One UPS advantage and comprehensive service portfolio, including Polar Speed's in-network pharmacies, we are optimally positioned to keep our clients competitive in an increasingly complex market. Work Location This position will begin in a temporary remote capacity. We anticipate transitioning the position to an on-site Miami, Florida office. During these periods, all responsibilities, reporting structure, and performance expectations will remain the same. The temporary remote arrangement will be reviewed regularly. Any changes will be communicated in advance to ensure a smooth transition to an on-site role. Candidates must be able to commute when on-site work resumes. What You Will Do • Handle incoming customer requests via phone, email and website with a sense of urgency and attention to detail • Using MNX's proprietary logistics management platform, process, monitor, and manage critical customer shipments for the medical, aerospace, telecommunications and high tech industries • Communicate with customers and agents in a professional and courteous manner • Meet required team metrics • Stay current on all required training What You Bring • At least 1 year of customer service experience • Time Management • Must be at least 18 years old and have a high school diploma or GED • Be proficient in: Microsoft-Word, Excel, Outlook & data entry and type 30 WPM • Knowledge of US and world geography and time zones is preferred • Call Center experience is preferred • Must have outstanding communication, customer service, and organizational skills • Be able to operate in a fast-paced and demanding environment • Be flexible - with the ability to work additional hours as business requires Shift / Hours: Tues-Sat 6:00AM- 4:30PM EST Must be able to train Monday - Friday 8:00am - 5:00pm EST for 3-4 weeks. Employee Type: Permanent UPS is committed to providing a workplace free of discrimination, harassment, and retaliation. UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law. Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.

Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance options to our clientsand members. The UR Nurse is responsible for reviewing clinical information to determine the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and levels of care in accordance with established criteria, payer guidelines, and organizational policies. This role involves evaluating healthcare services and facilities under the provisions of applicable health benefit plans to ensure quality and cost-effective patient care. The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and other members of the care team to facilitate timely and effective care authorizations, transitions, and utilization determinations. Strong communication, clinical judgment, and attention to detail are essential to ensure services meet both clinical standards and benefit requirements. Responsibilities • Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS criteria. • Conduct medical necessity reviews for services requiring prior authorization, applying utilization-specific criteria. • Request and evaluate clinical information needed to review requested services. • Discuss cases and determinations with healthcare professionals and physician reviewers. • Identify cases requiring intervention and collaborate with Case Managers as needed. • Maintain appropriate and accurate documentation, ensuring compliance with audit standards. • Participate in team meetings, educational sessions, and related activities. • Review medical claims and pre-determinations for medical necessity and appropriateness. • Identify opportunities for process improvement and enhance communication among departments. • Consult with Physician Reviewers for complex or challenging cases. Requirements • Current, unrestricted RN license (State license required). • Minimum 3 years of clinical nursing experience. • Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience. • Strong analytical, critical thinking, and problem-solving skills. • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and familiarity with utilization management systems. • Excellent verbal and written communication skills, with the ability to interact effectively with internal and external stakeholders. • Strong organizational and time management skills, with the ability to handle multiple priorities independently. Preferred Qualifications • Experience with Milliman or Aetna criteria. • Background in healthcare administration, medical necessity determination, or benefits management. • Experience in data interpretation and medical trend analysis. Work Environment & Physical Demands • Prolonged periods of sitting may be required. • Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request. • Employees should ensure an ergonomically appropriate desk and chair setup. • Comfort with being on camera for virtual meetings (e.g., Microsoft Teams) Benefits After successfully completing a waiting period, eligible full-time employees have access to our comprehensive benefits package, including: • Fantastic medical, dental, and vision insurance* • Twice annual employer HSA contributions, covering 50% of the HDHP plan's annual deductible! • Company-provided Basic Life and AD&D • Company-paid Short-Term and Long-Term Disability** • Flexible Spending Accounts* • 401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years) • 10+ paid holidays • Half-day Summer Fridays • Generous paid vacation and sick time • Annual paid Volunteer Day • Annual Tuition reimbursement • Annual Health and Wellness reimbursement • Lots of fun company events Benefit Waiting Period Notes: *60-day waiting period, **90-day waiting period Who We Are As a trusted Third-Party Administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four companies: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue, and Great Bay Administrators. With over 30 years of experience and a dedicated team of nearly 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Cobalt Benefits Group is one of the fastest growing TPA's in the country and the fastest growing in New England. Join us as we match employers across our region with the right solutions for their employee benefit needs.

About the job Customer Service Representative (Remote) Join the growing Arkestro Team! Arkestro is seeking professional and motivated individuals to support customers during their Open Enrollment season. As an Associate Benefits Administrator, you will provide customer support via phone and email, guiding and helping navigate customers through their benefits enrollment. In This Temporary Position, You Will • Join an awesome, one-of-a kind team. They will place you on a 'Surge Team' to connect with a group of your peers and a Arkestro mentor • Receive structured 4 weeks of training through Arkestro University • Gain experience using Salesforce, JIRA (their issue management system), Microsoft Office Suite, and other software programs What You Will Do • Serve as the first point of contact for customers over the phone. This could include communicating benefit plan details, helping customers navigate the software, and helping to resolve any enrollment-related issues • Accurately document each customer interaction in Salesforce • Provide an accurate timeframe for issue resolution if not able to resolve initially • Embody their Core Values: Respect, Own It, Together, Community, Celebrate and Anticipate Who You Are • An excellent communicator (especially over the phone!) who is able to work well with others to resolve issues • Able to quickly learn new technology (with training, of course) • Able to juggle a high volume of calls and multiple projects at a time • A team player who contributes by accomplishing results as needed • Motivated to grow your career at one of the most innovative, visionary software companies Remote Work Requirements • Private work environment for the discussion of confidential information • Quiet environment suitable for professional uninterrupted work free from home environment distractions such as pets, family members, etc. • High speed internet via direct connection to support internet phone and system connectivity (wireless or satellite connections are not allowed)

Customer Service Representative Optum Care Delivery is seeking a Customer Service Representative to join our team. As part of the Optum Care Delivery organization, you will play an integral part of our vision to make healthcare better for everyone. 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 8:00 am - 5:00 pm MST. It may be necessary, given the business need, to work occasional overtime. We offer up to 90 days of paid training. External hires will need to be on-site for one and a half days for orientation. Internal hires will not need to complete orientation. The hours during training will be 8:00 am - 5:00 pm MST, Monday - Friday. Upon successful completion of the training period, employees may be eligible for a remote work schedule. Primary Responsibilities: • Answer average of 60-80 incoming phone calls per day from customers and identify the type of assistance the customer needs • Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems • Communicate directly with clinical staff for patient needs • Medication refills, referral requests, chart troubleshooting • Scheduling appointments for patients - entering and updating demographics • Other tasks as needed 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 in customer service environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools • Experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications • Ability to type 40 wpm • Ability to work full time (40 hours / week), Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00 am - 5:00 pm MST. Preferred Qualifications: • 1+ years of health care experience • 1+ years of call center experience • Knowledge of Medical Terminology Telecommuting Requirements: • External candidates must reside within commutable distance to the office at 165 S Union Blvd, Lakewood, CO 80228, to complete a day and a half of on-site orientation. After orientation, they may enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. (National remote for internal candidates) • Ability to keep all company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information privacy • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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.