Associate Claims Representative

UnitedHealth Group • Minnetonka, MN

210d • $16 - $28 • Remote

About The Position

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.

Requirements

• 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

Nice To Haves

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

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

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED