Associate Claims Representative

UnitedHealth Group•Tampa, FL

3d•$16 - $29•Remote

About The Position

This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. This role is equally challenging and rewarding. You’ll be called on to research complex issues across multiple databases. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you’ll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of the training will be during normal business hours. 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.

Requirements

High School Diploma / GED
Must be 18 years of age OR older
1+ years of customer service experience
Administrative experience (i.e. office, administrative, clerical, customer service, etc.)
Experience with Microsoft Excel (ability to create, edit, filter and sort through spreadsheets)
Experience with Microsoft Word (ability to create and edit spreadsheets)
Experience with Microsoft Outlook (ability to send/receive emails and calendar invites)
Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
Experience in a fast paced or production environment
Ability to work Monday - Friday, 8:00 am - 5:00 pm CST
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.
Demonstrated ability to listen skillfully, collect relevant information, build rapport and respond to customers in a compassionate manner
Detail orientated - maintain a high level of quality
Strong telephone skills
Proficient conflict management skills to resolve issues in a stressful situation
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Nice To Haves

Experience processing medical, dental or prescription claims
Familiarity with UB04’s
Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work

Responsibilities

Making outbound calls to care providers and minimal inbound calls
Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
Contact care providers (hospitals) on behalf of the customer to assist with claims related issues or concerns
Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues