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By | August 10, 2022

Job Responsibilities : Senior Claims Representative – National Remote

Salary : $18.17 – $32.26 an hour

Company : UnitedHealthcare

Location : Remote US

Educational requirements : High School

$1500 Sign-On Bonus for External Candidates

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

This is an opportunity that’s all about where you’ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group your potential and your impact can be career changing. No company has put together better teams of passionate energetic and all out brilliant Claims Representatives . This is where you come in. We’ll look for your experience and expertise to help keep our service levels and accuracy extremely high. We’ll also look for your ideas on how to constantly evolve our claims processes. We’ll back you with the great training support and opportunities you’d expect from a Fortune 5 company leader.

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am – 6:00pm. It may be necessary given the business need to work occasional overtime.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

  • Assist with escalated claims to resolve complex issues for team members and internal customers
  • Support implementation of updates to the current procedures and assist with new system training/mentoring
  • Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim
  • Analyze and identify trends and provides reports as necessary

This is a challenging role that takes an ability to thoroughly review analyze and research 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 ensure timely processing of the member’s claim.

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 (or higher) OR equivalent years of work experience
  • 1+ years of experience processing medical dental prescription or mental health claims
  • 1+ years of experience in a related environment (i.e. office administrative clerical customer service etc.) using phones and computers as the primary job tools
  • Proficiency with computer and Windows PC applications which includes the ability to navigate and learn new and complex computer system applications

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

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills experience and dedication that serving in the military demands. In fact many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity Compassion Relationships Innovation and Performance. Whether you are looking to transition from active duty to a civilian career or are an experienced veteran or spouse we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa a Senior Quality Analyst works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers at UnitedHealthcare Employer & Individual . We all want to make a difference with the work we do. Sometimes we’re presented with an opportunity to make a difference on a scale we couldn’t imagine. Here you get that opportunity every day. As a member of one of our elite teams you’ll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You’ll help write the next chapter in the history of healthcare. And you’ll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work. SM

Colorado Connecticut or Nevada Residents Only: The salary range for Colorado residents is $18.17 to $32.26. The salary range for Connecticut / Nevada residents is $20.00 to $35.53. Pay is based on several factors including but not limited to education work experience certifications etc. 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.

Making claims a positive experience for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life’s best work. SM

**PLEASE NOTE** The sign on bonus is only available to external candidates. Candidates who are currently working for a UnitedHealth Group UnitedHealthcare or related entity in a full time part time or per diem basis (Internal Candidates) are not eligible to receive a sign on bonus.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race color religion sex age national origin protected veteran status disability status sexual orientation gender identity or expression marital status genetic information or any other characteristic protected by law.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.

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