Senior Claims Representative

UnitedHealth Group - Minneapolis, MN

Full-time
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.

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
Key and process Domestic and International claims and obtain and sustain performance level
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
3+ year of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
1+ year experience processing medical, dental, prescription or mental health claims
Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
3+ years’ experience with UNET
Able to work Monday to Friday between the hours of 6:00am - 5:30pm EST
Dedicated work area established that is separated from other living areas
Work area in a section of the residence that provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Reside in a location that can receive a high-speed internet connection (additional information on UnitedHealth Group approved internet providers and restrictions will be provided)
  • All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near - obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, Military families and Veterans wherever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can 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.

Key words: Healthcare, health care, Managed Care, Billing Representative, Billing, Collections, Claims, Customer Service, Medical Billing