($16.00 – $28.27 per hour) Associate Claims Representative – Remote

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The following information can be found on the job posting:

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.  

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us and start doing your life’s best work.SM 

Imagine this. Everyday, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one’s better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We’ll look to you to maintain our reputation for service, accuracy and a positive claims experience. We’ll back you with great training, support and opportunities.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work 8-hour shift schedules during our normal business hours of 6:00am to 6:00pm candidate’s local time zone. It may be necessary, given the business need, to work occasional overtime or weekends.

We offer 12 weeks of paid training. The hours during training will be 8:00am to 4:30pm CST, Monday – Friday.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

Provide general claims support by reviewing and processing claims
Calculate other insurance and benefits
Participate in meetings to share, discuss, and solution for question or error trends, as well as potential process improvements
Consistently meet established productivity, schedule adherence, and quality standards
This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member’s claim.

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
1+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications.
Experience using Microsoft Word (ability to create, edit, save and send documents)
Microsoft Excel (ability to create, edit, save and send spreadsheets)
Must be 18 years of age OR older
Ability to work full-time, Monday – Friday between 6:00am to 6:00pm candidate’s local time zone including the flexibility to work occasional overtime given the business need
Preferred Qualifications:

Basic understanding of healthcare claims including ICD-9 and CPT codes

Telecommuting Requirements:

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.