Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools and nearly limitless opportunities for advancement. Join us and start doing YOUR LIFE'S BEST WORK.(SM)

This role is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, processing and adjusting claims. This position also authorizes the appropriate payment or refers claims to investigators for further review; conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.

PRIMARY RESPONSIBILITIES:

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

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 or equivalent
• 2+ years of previous medical claims processing experience
• Basic Level Proficiency with Word, Excel, Outlook

PREFERRED QUALIFICATIONS:

• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
• Basic Level Proficiency with SharePoint or Doc. DNA or IKA
• Ability to perform and be successful in a high paced environment
• Highly dependable and able to perform all duties outlined

CAREERS WITH WELLMED. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do YOUR LIFE'S BEST WORK.(SM)

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.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.