Claims Representative – Work from Home

Job Description

If you are located within the Pacific time zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.
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 10 leader.
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 7:30am – 4:00pm PST. It may be necessary, given the business need, to work occasional overtime. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma / GED (or higher)
1+ years of experience in either a healthcare or pharmacy environment (retail or PBM)
Computer experience using Windows applications and other business systems
Ability to work from 7:30 am – 4:00 pm PST, Monday through Friday with overtime, weekends and holidays as needed
Preferred Qualifications:

1+ years of Medicare knowledge
1+ years of experience in Pharmacy Technician
1+ years of experience in medical claims or pharmacy claims processing
Telecommuting Requirements:

Reside within Pacific Time Zone
Required to have a dedicated work area established that is separated from other living areas and provides information privacy
Ability to keep all company sensitive documents secure (if applicable)
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
Soft Skills:

Ability to multi – task, this includes ability to understand multiple products and multiple levels of benefits within each product
Physical and Work Environment:

Office environment
Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse
UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.