Claims Representative - Raleigh, NC - Full-time / Part-time

Energize your career with one of health care's fastest
growing companies.  

 

You dream of a great career with a great company where
you can make an impact and help people. We dream of giving you the opportunity
to do just this. And with the incredible growth of our business, it's a dream that
definitely can come true. Already one of the world's leading health care
companies, UnitedHealth Group is restlessly pursuing new ways to operate our
service centers, improve our service levels and help people lead healthier
lives. We live for the opportunity to make a difference and right now, we are
living it up.

 

In this role, you'll be responsible for handling incoming
medical claims ensuring a high level of customer service and maximizing
productivity.

And whether you are like many of our new employees and
this is your first role as a Claims Representative or if you come to
us with prior experience, we provide extensive training and a highly supportive
environment for all of our Claims team members.

Responsibilities:

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

.

Qualifications:

• 1
  year of customer service experience analyzing and solving customer
  problems in an office setting environment using the telephone and
  computer as the primary instruments to perform job duties
• An education level of at least a high school diploma or GED OR 10 years of equivalent working experience
• Authorization to work in the United States
• Available to work 40 hours per week within the operating hours of the site
• Familiarity
  with computer and Windows PC applications, which includes the ability
  to learn new and complex computer system applications
• Ability to navigate a computer while on the phone
• Ability
  to multi-task, this includes ability to understand multiple products
  and multiple levels of benefits within each product
• Ability to remain focused and productive each day though tasks may be repetitive

Physical Requirements and Work Environment:

• Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
• Office environment

UnitedHealth Group
is working to create the health care system of tomorrow and you can
help. Already Fortune 17, 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.  Join with us and start doing your life's best work. SM



Diversity
creates a healthier atmosphere: All qualified applicants will receive
consideration for employment without regard to race, color, religion,
sex, national origin, protected veteran status, or disability status.

UnitedHealth
Group is a drug-free workplace. Candidates are required to pass a drug
test before beginning employment. In addition, employees in certain
positions are subject to random drug testing.