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Job Detail

Claims Associate

Job Description:

UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.

 

When you work with UnitedHealthcare, what you do matters. It’s that simple…and it’s that challenging.

 

In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.

 

The Claims Representative is responsible for handling incoming medical claims ensuring a high level of customer service and maximizing productivity.

 

Responsibilities:

  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
  • Authorize appropriate payment or refers claims to investigators for further review
  • Analyze and identifies trends and provides reports as necessary
  • Constantly meet established productivity, schedule adherence, and quality standards
  • Provide excellent customer service


Job Requirements:

Qualifications:

  • 1 year of customer service experience analyzing and solving customer problems in an office setting environment using the telephone and computer as the primary instruments to perform job duties
  • An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
  • Authorization to work in the United States
  • Available to work 40 hours per week within the operating hours of the site
  • Prior stable work experience
  • Familiarity with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Ability to navigate a computer while on the phone
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
  • Ability to remain focused and productive each day though tasks may be repetitive

 

Physical Requirements and Work Environment:

  • Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
  • Office environment

Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.



Job Skills:

Diversity creates a healthier atmosphere:  equal opportunity employer M/F/D/V.

 

UnitedHealth Group is a drug-free workplace. All candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.





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