JOB REQUIREMENTS: Primary Responsibilities: Provide an exceptional customer service experience when responding to and resolving customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence Updating information on member files within CPS system (claims processing system, OnBase) Research complex issues (such as Medical, Dental, Flex Spending, etc.) across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues Own issue through to resolution on behalf of the member/provider requests that are received Apply creative solutions and effective problem-solving techniques to address members/provider needs Address complex issues with an awareness of when to refer complicated situations to various departments or leadership for further assistance Searching system for member information variety of systems (example: Explanation of benefits, reviewing call track information, appeals invoicing, check/payment tracking) Process medical record payments Manually entering in various types of claims (medical, dental, vision) Creating various correspondence to be mailed Running various reports systems Cross train and work in all processes when needed Other duties as assigned Repetitive movements including siting, stand, kneel, and reaching ***** OTHER EXPERIENCE AND QUALIFICATIONS: Required Qualifications: High School Diploma / GED (or higher) OR 10+ years of equivalent work experience Must be 18 years of age OR older 1+ years of experience working in an office or professional setting Ability to navigate a PC to open multiple applications, send emails, conduct data entry, and learn new and complex computer system applications, as well as using dual monitors Ability to work any of our 8-hour shift schedules during our normal business hours of 7:00am 5:00pm CST. It may be necessary, given the business need, to work occasional overtime. ***** APPLICATION INSTRUCTIONS: Apply Online: https://uhg.hr/Wausau2025