Claims Representative

UnitedHealth Group•San Diego, CA

4d•$18 - $32•Onsite

About The Position

This position is Onsite. Our office is located at 3131 Camino Del Rio North, Suite 700 San Diego, CA, 92108. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This is a challenging role that takes an ability to thoroughly review, analyze and research complex healthcare 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 support timely processing of the member's claim. This position is full-time (40 hours/week) Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime. We offer up to 90 days of onsite on the job training aligned to your schedule.

Requirements

High School Diploma / GED OR equivalent work experience
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 phones and computers as primary job tools
1+ years of experience using Microsoft Office applications
1+ years of experience with processing (reviewing, researching, adjudicating and entering claims) medical OR mental health claims
Experience using computers and Windows based applications, which includes the ability to learn new and complex computer system applications
Ability to work onsite. Our office is located at 3131 Camino Del Rio North, Suite 700, San Diego, CA, 92108
Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work 0ccasional overtime.
Ability to work independently and prioritize tasks
Display strong work ethic, independence, and dependability
Exhibit excellent time management, organizational, and prioritization skills
Demonstrate the ability to multitask
Possess effective interpersonal, influence, collaboration, and listening skills
Drive for results individually and in a team setting

Responsibilities

Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence and quality standards
Other duties as assigned