Job description

Job Description & Requirements - Claims Representatives
Primary Responsibilities:

• Authorizes the appropriate payment or refers claims to investigators for further review
• Conducts data entry and claims processing/issues
• Responsible for handling issues within turnaround standards
• Ability to handle most claim types / cases / issues that are submitted to the team you are supporting
• Ability handle escalations as needed
• Ability to work multiple functions and applications in a day as needed
• Communicate any changes in trending of inventory, volumes, and quality remediation
• Complete required individual development courses / training
• Meet and maintain minimum quality and productivity standards

Required Qualifications:

• High school diploma/ GED or higher
• 1+ years of experience in a production environment
• Proficient in MS Office with strong computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft word, Power

Point)

• Proficient in verbal and written English skills
• Ability to work 40 hours / week during standard business operating hours Monday - Friday from 7am - 7pm AST (It may be

necessary, given the business need, to work occasional overtime on weekends and holidays)

• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster

doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations
as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to
employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable
accommodation
Preferred Qualifications:

• Experience in medical billing or claims
• Healthcare experience

Job Type: Full-time

Salary: $12.00 per hour

Benefits:

• Health insurance
• Paid time off

Schedule:

• 8 hour shift

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