Job Category:
Administrative/Clerical
Reference Code:
313930
Position Type:
Full Time, Employee
UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?
Claims Representative Associate - Brookfield, WI - Brookfield, WI 53005
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
When you work with UnitedHealthcare, what you do matters. It's that simple…and it's that challenging.
 
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
 
Position Description:
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.

 


Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.



Qualifications:
  • High school diploma or equivalent is required

  • Healthcare Insurance Claims Processing over 200 claims daily

  • Dual telephonic and use of a computer in a professional environment

  • Overtime as needed is required

  • In-depth knowledge about healthcare benefits and the multiple levels of benefits within each product

  • System-Etrack, Power Plus, Metavante, strongly preferred

  • Medical billing experience is a plus

  • Familiarity 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

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

Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
 
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.









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Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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