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

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You
dream of a great career with a great company - where you can make an impact and
help people.  We can offer you just this. And with the incredible growth of our
business, it’s a dream that definitely can come true when you join us as an
Associate Claims Representative. Already one of the world’s leading health care
companies, UnitedHealth Group is relentlessly pursuing new ways to operate our
service centers, improve our service levels and help people lead healthier
lives.  Whether you have prior experience or not, we’ll provide extensive
training and a highly supportive environment for all of our Claims team members.
This is your opportunity to make a difference, grow your career and do your
life’s best work. (SM)
 
As
an Associate Claims Representative, you’ll be responsible for handling incoming
healthcare claims ensuring a high level of customer service and maximizing
productivity by processing claims accurately, the first time. You’ll put your
skills and talents along with our training to work as you review, research, and
process medical claims.  It's a
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.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 (6:00am to 6:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 3131 RDU Center, Morrisville, NC 27560.
 
To
learn even more about this position, click here to watch a short video about the
job: http://uhg.hr/UHC-ClaimsRep
 
Primary Responsibilities:
Review, research, analyze and process complex healthcare claims by
navigating multiple computer systems and platforms and accurately capturing the
data/information for processing (e.g. verify pricing, prior authorizations,
applicable benefits)Ensure that the proper benefits are applied to each claim by using the
appropriate tools, processes and procedures (e.g. claims processing policies and
procedures, grievance procedures, state mandates, CMS/Medicare guidelines,
benefit plan documents/ certificates tool)Complete data entry for all daily documentation and communicate the
status of claims adhering to reporting requirementsCommunicate through correspondence with members and providers regarding
claim payment or required information using clear, simple language to ensure
understandingLearn and leverage new systems and training resources to help apply
claims processes/procedures appropriately (e.g. on-line training classes,
coaches/mentors)Meet and maintain the performance goals established for the position in
the areas of quality, production and attendance

Qualifications:
An education level of at least a high school diploma, GED or equivalent
working experience 1 year of work experience in a related environment (i.e. office,
administrative, clerical, customer service) preferred but not
requiredDemonstrated ability in using computer and Windows PC applications, which
includes strong keyboard and navigation skills and leaning new computer
programs.Ability to multi-task which includes understanding multiple insurance
products and multiple levels of benefits within each product Consistent attendance with ability to meet work schedule including the
required training periodSuccessful completion of the UnitedHealth Group of new hire training
program and demonstrate proficiency through testing and practical application

 
There are several steps in our hiring process - it’s a thorough process
because we want to ensure the best job and culture fit for you and for us. In
today’s ultra-competitive job market, the importance of putting your best foot
forward is more important than ever. And you can start by completing all
required sections of your application. (i.e. profile, history, certifications
and application/job questions). Once you submit your resume, you’ll receive an
email with next steps. This may include a link for an on-line pre-screening test
that we ask you to complete as part of our selection process.  You may also be
asked to complete a digital video interview, but we will offer full instructions
and tips to help you. After you have completed all of these steps, you can check
on the status of your application at any time, but you will also be notified via
e-mail. http://uhg.hr/OurApplicationProcess
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 where ever 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: 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.
 
Keywords: medical claims, healthcare claims, claims representative,
claims rep, claims processing, claims processor; UnitedHealth Group,
UnitedHealthare, training class, office, clerical, customer service