9 days old

Claims Representative Associate - Remote within Duluth, MN or Eau Claire, WI - 920012

Duluth, MN 55802 Work Remotely
  • Job Code
    920012

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM

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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 ones better. And no company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. Well look to you to maintain our reputation for service, accuracy and a positive claims experience. Well back you with great training, support and opportunities.

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This position is full-time (40 hours/week) Monday - Friday. Employees will have the flexibility to work any consistant 8 hour shift schedules during our normal business hours of 6:00am - 5:30pm. It may be necessary, given the business need, to work occasional overtime.

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If you are located in the Duluth, MN or Eau Claire, WI area, you will have the flexibility to telecommute as you take on some tough challenges.

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We offer 12 weeks of paid training. The hours during training will be 7:30am to 4:00pm, Monday - Friday.

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Training will be conducted virtually from your home.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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

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Youll 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.

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Required Qualifications:

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  • High School diploma / GED (or higher) OR equivalent years of work experience
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  • Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • 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
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  • 1+ years of experience processing medical, dental, prescription or mental health claims
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Telecommuting Requirements:

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  • Required to have a dedicated work area established that is separated from other living areas and provides information privacy
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  • Ability to keep all company sensitive documents secure (if applicable)
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  • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non - clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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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 lifes best work.SM

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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.

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UnitedHealth Groupis a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: medical claims, healthcare claims, claims representative, claims rep, claims processing, claims processor; UnitedHealth Group, UnitedHealth care, training class, hiring immediately, work at home, work from home, WAH, WFH, remote, telecommute, #rpo,Duluth, MN,Eau Claire, WI

Categories

Posted: 2021-04-07 Expires: 2021-05-07

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Claims Representative Associate - Remote within Duluth, MN or Eau Claire, WI - 920012

UnitedHealth Group
Duluth, MN 55802

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