Claims Representative Associate - Sugar Land, TX - Full-time / Part-time

Position Description:

Energize
your career with one of Healthcare'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 Healthcare 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.

This
opportunity is with one of our most exciting business areas: Optum –a growing
part of our family of companies that make UnitedHealth Group a Fortune 17 leader.

Optum helps nearly 60
million Americans live their lives to the fullest by educating them about their
symptoms, conditions and treatments; helping them to navigate the system,
finance their healthcare needs and stay on track with their health goals. No
other business touches so many lives in such a positive way. And we do it all
with every action focused on our shared values of Integrity, Compassion,
Relationships, Innovation & Performance.

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.



Positions in this function are responsible for providing expertise or general
claims support to teams in reviewing, researching, investigating, negotiating,
processing and adjusting claims. Authorizes the appropriate payment or refers
claims to investigators for further review. Conducts data entry and re-work;
analyzes and identifies trends and provides reports as necessary.



This is a role in the Sugar Land (Houston) Texas area office.

Primary Responsibilities:

• Provide expertise or general claims support by
  reviewing, researching, investigating, negotiating, processing and
  adjusting claims
• Analyze and identify trends and provide reports as
  necessary
• Consistently meet established productivity, schedule
  adherence, and quality standards
• Moderate work experience within own function
• Some work is completed without established procedures
• Basic tasks are completed without review by others
• Supervision/guidance is required for higher level tasks

• High School Diploma/GED or 10 years of equivalent working experience
• Available to work 40 hours per week within the operating hours of the site
• 2+ years of experience in an office setting environment using the telephone and computer as the primary instruments to perform job duties
• Authorization to work in the United States
• Moderate Proficiency with computers 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
• Work hours are M-F. flex time available to set 8 hour shift within business hours of 7 am - 7 pm

• Previous Claims experience
• Previous Healthcare experience

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