Analyst Customer Audits Claim Operations (Facets) - Sugar Land, TX - Full-time / Part-time

Position Description: 

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.

Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directed, These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment.  Claims Quality Analysts are responsible for all aspects of quality assurance within the Claims job family. Conduct audits and provide feedback to reduce errors and improve processes and performance. 

Primary Responsibilities: 

• Provide claims support by reviewing, researching, investigating, auditing claims  
• Provide feedback to team members on audit results 
  
• Analyze and identify trends and provide feedback and reports to reduce errors and improve claims processes and performance 
• Responsible for all aspects of quality assurance  
• Analyze information and utilize to build recommendations to reduce errors and improve process performance 
• Create, maintain and track reports in relation to performance  
• Serve as subject matter resource to team members, supervisors and management staff 

Requirements:

• High School Diploma/ GED  
• 1+ years of experience analyzing and solving customer problems in an office setting environment  
• Moderate proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications  
• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product  
• Intermediate level of MS Excel and PowerPoint 

• Undergraduate Degree or higher 
• 3+ years working experience in claims processing or quality  

Physical Requirements and Work Environment:  

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

UnitedHealthcare Employer
& Individual:
offers a comprehensive array of consumer health benefit plan for large national
employers, public sector employers, mid-sized employers, small businesses and
individuals through the nation.  Serving
over 25 million individuals, our consumer oriented health benefits and services
value individual choice and control in accessing health care.  Our integrated wellness program also helps
individuals make informed decisions, maintain healthy lifestyle and optimize
health outcomes by coordinating access to care services and provided
personalized, targeted education and information services.

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.