Top 57 Claims representative Jobs in Las Vegas, Nv

Medical Claims Representative
UnitedHealthcare —Las Vegas, NV
- $18 - $32 an hour
- 8 hour shift
- 18 years or older
- Medical office experience
- Basic math
- Paid training
- AD&D insurance
5d
ESIS Senior Claims Representative, WC
Chubb —Las Vegas, NV
- $78,100 - $109,400 a year
- Full-time
- Writing skills
- Mid-level
- 3 years
Patient Account Representative
Seven Hills Hospital —Henderson, NV
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Medical Biller/Claims Processing - Patient Support Representative - Remote
IQVIA —Las Vegas, NV
- $23 an hour
- Full-time
- Remote
- Spanish
- HIPAA
- English
Claim Examiner I
AmTrust Financial Services, Inc. —Las Vegas, NV
- $53,300 - $67,000 a year
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
General Liability Senior Technical Specialist
Travelers —Las Vegas, NV
- $94,400 - $155,800 a year
- Hybrid work
- Residential
- High school diploma or GED
- Analysis skills
- Wellness program
- Continuing education credits
7d
Licensed Insurance Customer Service Representative CSR
Allstate Insurance Agency - Theodore St Arnault —Las Vegas, NV
- $17 - $22 an hour
- Full-time
- Spanish
- Office
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Patient Account Representative - Claims Follow Up/Collections
University Medical Center of Southern Nevada —Las Vegas, NV
- $18.92 - $29.33 an hour
- Full-time
- Customer service
- Basic math
- Mid-level
- Dental insurance
- Vision insurance
Multi-Line Representative - State Farm Agent Team Member
Jade Yap - State Farm Agent —Las Vegas, NV
- $36,000 a month
- Full-time
- Office
- Organizational skills
- Communication skills
- Dental insurance
- Paid time off
Quick Apply
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Las Vegas, NV
- $57,000 - $90,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
21h
Customer Service Representative - State Farm Agent Team Member
Adam Robertson - State Farm Agent —Henderson, NV
- $50,000 - $90,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- 401(k) matching
Quick Apply
Customer Service Representative - State Farm Agent Team Member
JoAnn Cuevas - State Farm Agent —Las Vegas, NV
- $22 - $25 an hour
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
First Notice of Loss Claims Representative
Superior Underwriters —Las Vegas, NV
- Full-time
- Organizational skills
- Communication skills
- Entry level
- Opportunities for advancement
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Nick Sage - State Farm Agent —Henderson, NV
- $50,000 - $80,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Profit sharing
- 401(k)
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Liza Faress - State Farm Agent —Henderson, NV
- $3,500 - $6,500 a month
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- 401(k) matching
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Ryan Bonner - State Farm Agent —Las Vegas, NV
- $2,500 - $4,500 a month
- Full-time
- Spanish
- Office
- Communication skills
- Paid time off
- 401(k) matching
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Jared Burgess - State Farm Agent —North Las Vegas, NV
- Full-time
- Office
- Organizational skills
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative I - Las Vegas, Nevada
NYU Langone Health —Las Vegas, NV
- Online Application
- Basic math
- High school diploma or GED
- Typing
- Wellness program
2d
Insurance Account Receivable Representative (LV)
THE WELL CARE GROUP MSO LLC —Las Vegas, NV
- Full-time
- Customer service
- Computer literacy
- HIPAA
Multi-Line Representative - State Farm Agent Team Member
Ryan Janet - State Farm Agent —Las Vegas, NV
- $52,000 - $85,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Paid time off
- Employee discount
Quick Apply

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Medical Claims Representative

UnitedHealthcare -
Las Vegas, NV

Apply Now

Job Details

Full-time
$18 - $32 an hour
5 days ago

Benefits

Paid training
AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Adoption assistance
Employee assistance program
Vision insurance
Employee discount
Referral program
Pet insurance

Qualifications

Basic math
Health insurance knowledge

Full Job Description

This position is Onsite. Our office is located at 2720 N Tenaya Way, Las Vegas, NV, 89128.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Medical Claims Representative works under minimal supervision adjudicating complex and specialty claims. They release designated pending claims to achieve established production, quality, and cycle time standards in accordance with EOC, Benefit Schedules and contractual arrangements. They monitor and report desk inventory notifying management of problem identification. This role is primarily focused on claims analysis and adjudication and does not include inbound or outbound customer service phone responsibilities.

If you're looking for a role where you can leverage your skills to connect people, translate ideas into action, and drive meaningful outcomes, this could be the perfect fit.

What are the reasons to consider working for UnitedHealth Group? Put it all together - a highly competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success.

Some of our offerings include:

18 days of Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-Term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement - up to $5,250 per calendar year for job-related coursework
Adoption Assistance Plan
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: Health insurance plans - UnitedHealthcare

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 6:00 am - 5:00 pm. Alternate schedules are available for those who would prefer to work four 10-hour shifts from Monday - Friday as long as employees are working the hours per business need. It may be necessary, given the business need, to work occasional overtime.

We offer up to 4 - 6 weeks of paid training. The hours during training will be 7:00 am - 3:30 pm PST, Monday - Friday. Training will be conducted onsite.

Primary Responsibilities:

Adjudicate claims in accordance with established quality and production standards
Monitor work inventory and submits required reports accurately and by established deadlines
Analyze medical claims to ensure accurate adjudication in accordance with Evidence of Coverage (EOC) documents, Benefit Schedules, and Provider Contracts
Release claims within established timeframes to meet company requirements, state regulations, contractual obligations, and performance standards
Identify processing issues and reports findings to management
Resolve priority projects and complex assignments
Perform all job functions with a high degree of discretion and confidentiality in compliance with federal, company, and departmental confidentiality guidelines

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 equivalent years of work experience
Must be 18 years of age or older
1+ years of medical claims processing experience in working with HMO / PPO or indemnity claims
1+ years of experience with Medical terminology, ICD-10, or CPT coding with an understanding of Insurance Certificates, Benefit Schedules, Provider / Group Contracts and Standard Insurance Industry Practices
Must be willing to interview onsite at 2720 N. Tenaya Way, Las Vegas, NV, 89128
Must be willing to work onsite at 2720 N. Tenaya Way, Las Vegas, NV, 89128
Ability to work 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 6:00 am - 5:00 pm. Alternate schedules are available for those who would prefer to work four 10-hour shifts from Monday - Friday as long as employees are working the hours per business need. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

2+ years of medical claims processing experience in working with HMO / PPO or indemnity claims
2+ years of experience with Medical terminology, ICD-10, or CPT coding with an understanding of Insurance Certificates, Benefit Schedules, Provider / Group Contracts and Standard Insurance Industry Practices
1+ years of experience in Medical / Dental insurance, office or medical billing setting

Soft Skills:

Must possess understanding of basis mathematics
Knowledge of, or capacity to learn and apply, applicable federal and state laws, regulations, policies, and industry guidelines related to healthcare claims processing and operational compliance
Experience working in a high-volume production environment while consistently meeting established productivity and quality standards
Demonstrated analytical reasoning, critical thinking, and problem-solving skills
Adaptability to change and flexibility are key to success in the role, along with the ability to maintain a positive work ethic

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RPO #RED

Apply Now

Refine Your Search

claims representative jobs in las vegas, nv

Medical Claims Representative

ESIS Senior Claims Representative, WC

Patient Account Representative

Medical Biller/Claims Processing - Patient Support Representative - Remote

Claim Examiner I

General Liability Senior Technical Specialist

Licensed Insurance Customer Service Representative CSR

Patient Account Representative - Claims Follow Up/Collections

Multi-Line Representative - State Farm Agent Team Member

Claims - Field Claims Representative

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

First Notice of Loss Claims Representative

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Multi-Line Representative - State Farm Agent Team Member

Customer Service Representative I - Las Vegas, Nevada

Insurance Account Receivable Representative (LV)

Multi-Line Representative - State Farm Agent Team Member

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