At UnitedHealthcare, I managed a high-volume caseload and served as a point of contact for members navigating benefits, provider access, and care needs. I investigated barriers involving provider availability, medication access, transportation, and referrals, then coordinated with providers and internal teams to move issues toward resolution.
I also helped members understand medical, dental, vision, and hearing benefits and locate in-network providers. I documented outreach, action steps, escalations, and outcomes while protecting confidential health information and following up on unresolved concerns.
At RMR Insurance Agency, Inc., I built and serviced a portfolio of 500+ health insurance clients. I answered questions about coverage, eligibility, billing, plan changes, and provider access, coordinating with carriers and healthcare providers to address service concerns.
