Associate Claims Representative – National Remote

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 to start Caring. Connecting. Growing together.

Imagine this. Every day, 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 Associate 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 is a high – volume, production – based role that requires full attention to work duties. Employees in this role must be able to ensure they will have uninterrupted work time while they are on shift (outside of normally scheduled breaks and lunch). As an Associate Claims Representative, you will spend 8 hours of your day reviewing, analyzing, and researching 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.

This position is full time (40 hours / week), Monday – Friday. Employees are required to have the flexibility to work any of our assigned 8-hour shift during our normal business hours of 5:00 AM – 7:30 PM CST (Central Standard Time) including the flexibility to work occasional overtime and weekends based on business need.

We offer 14 weeks of paid training (attendance during training is 100% mandatory). The hours during training will be 7:00 AM – 3:30 PM CST (Central Standard Time) from Monday – Friday. Training hours may vary. Training will be conducted virtually from your home.

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

Expectations of Working at Home – UnitedHealth Group Enterprise Video On Demand (uhc.com)

 

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

 

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
• Must be 18 years of age OR older
• 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using computers as the primary job tools
• 1+ years of experience with Windows personal computer applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
• Experience with using Microsoft Word (create, update, and format documents) and Microsoft Excel (create, update, and sort spreadsheets, pivot tables, and data)
• This position requires full attention to work duties. Employees in this role must be able to ensure they will have uninterrupted work time while they are on shift (outside of normally scheduled breaks and lunch).
• Ability to commit to 14 weeks of training (attendance during training is 100% mandatory)
• Ability to work any of our full time (40 hours / week), assigned 8-hour shift schedule during our normal business hours of 5:00 AM – 5:30 PM CST (Central Standard Time) from Monday – Friday including the flexibility to work occasional overtime and weekends based on business need

 

Preferred Qualifications:

• 1+ years of experience with processing medical, dental, prescription, OR mental health claims
• Presently employed within UHC Operations & Experience. Those currently employed outside that unit will not be considered. (To verify, review your Sparq profile and the organization chart. Sparq Homepage, click “My Profile”, click “Organization Chart”. Look upward on the org chart to confirm that you report through Ops & Experience, and Mike Baker).
• 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

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

The hourly range for this role is $16.00 to $28.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

 

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.

 

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