Job Description

You\xe2\x80\x99ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

At UnitedHealthcare, we\xe2\x80\x99re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life\xe2\x80\x99s best work.SM

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 position is full-time, Monday - Friday. Employees are required to work our normal business hours of 6am-6pm CST.

We offer 4-6 weeks of on-the-job training. The hours of the training will be aligned with your schedule.

*All Telecommuters will be required to adhere to UnitedHealth Group\xe2\x80\x99s Telecommuter Policy.

Primary Responsibilities:

• Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing claims
• Review, coach to and provide feedback for claim defects
• Provide regular written and verbal feedback to supervisors (for review with staff) and business leaders
• Drive quality improvement, through exceptional claims accuracy and by improving processes
• Consistently meet established productivity, schedule adherence, and quality standards
• Host meetings with the team and internal business partners to review and improve processes or escalate issues
• Give assistance with Escalated Sup Calls
• Discuss technical process on calls with varying levels of management
• Authorize appropriate payment or refer claims to investigators for further review
• Analyze and identify trends and provides reports as requested
• Reviewing Teams Capacity and Inventory daily
• Review SOP/411 updates with team
• Provide excellent customer service
• Extensive work experience, possibly in multiple functions
• Works independently
• Mentors others
• Acts as a resource for others
• Coordinates others\' activities
• Builds the network needed to get the job done

You\xe2\x80\x99ll 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 equivalent years of experience
• 1+ years of Claims, Office and/or Customer Service experience analyzing and solving customer problems in CSP Facets
• Technical knowledge of CSP
• Experience with using Microsoft Word (create and modify documents)
• Microsoft Excel (sort, filter, enter data, use basic formulas)
• Microsoft Outlook (manage email and calendar)
• Ability to work full-time, Monday - Friday. Employees are required to work our normal business hours of 6am-6pm CST.
• Must be 18+ years of age or older

Preferred Required Qualifications:

• Experience with using Microsoft PowerPoint (ability to use and develop presentation of data / information to present to a group which might include management)

Soft Skills:

• Excellent time management and organizational skills
• Ability to quickly adapt/adjust to demanding priorities, especially in high pressure moments
• Work with minimal guidance; seek guidance on only the most complex tasks
• Analytical and independent thinker
• Articulates the link between the work priorities, the plan and overall goals of the enterprise
• Strong interpersonal skills

Physical and Work Environment:

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

Telecommuting Requirements:

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

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $18.80 - $36.78 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you\xe2\x80\x99ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone\xe2\x80\x93of every race, gender, sexuality, age, location, and income\xe2\x80\x93deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes \xe2\x80\x94 an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.

#RPO #GREEN

UnitedHealth Group