Associate Claims Representative - Brentwood, TN

Be part of our next training class and begin your new
career.  Apply today!

 

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 or weekends. Our office is located at 7105
Moores Ln, Brentwood, TN 37027.

 

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