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Claims Representative

UnitedHealth Group

UnitedHealth Group

Claims Representative

Green Bay, WI +1 location
Full Time
Paid
  • Responsibilities

    It's that time, isn't it? You're ready for the next step forward and an opportunity to build on your skills. And it just so happens that there's never been a better time to get on the team at UNITEDHEALTH GROUP. We've built one of the world's most effective and respected claims processing teams. And that's where you come in. We'll look to you to maintain our reputation for service, accuracy and providing a positive claims experience. We'll back you with the great training, support and opportunities you'd expect from a Fortune 6 leader.

    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 (:00am-:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 1600 McConnor Pkwy, Schaumburg, IL.

    PRIMARY 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

    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.

    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.

  • Qualifications

    REQUIRED QUALIFICATIONS

    • 1+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
    • An education level of at least a high school diploma or GED OR equivalent years of work experience
    • Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications

    PREFERRED QUALIFICATIONS

    • 1+ year experience processing medical, dental, prescription or mental health claims

    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

    UnitedHealth Group is working to create the health care system of tomorrow.

    Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

    Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

    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.

  • Industry
    Hospital and Health Care
  • Locations
    Irvine, CA • Green Bay, WI
  • Fun Fact
    UnitedHealth Group is working to create the health care system of tomorrow.
  • About Us

    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.