Associate Claims Representative

This position is National Remote. You'll enjoy the flexibility to telecommute
* from anywhere within the U.S. as you take on some tough challenges.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives?

Join us to start Caring. Connecting. Growing together.

If putting a smile on someone's face puts one on yours, you belong on our team. Here at Optum and United Health Group, we've brought together teams of incredibly compassionate and absolutely positive people to help serve our members when they call us with questions regarding their health care coverage, eligibility or reimbursement. Your helpful personality combined with our support, training and development will ensure your success.

This is no small opportunity. This is where you can bring your compassion for others while building a career.

This role is equally challenging and rewarding. You'll be called on to research complex issues across multiple databases. It requires fluency in computer navigation and toggling while you confidently and compassionately engage in dialogue with the caller. Be assured that our training will provide you with knowledge of the various products, plans and levels of benefits available to members and you'll soon find yourself creating positive experiences and earning the gratitude of callers on an hourly basis.

This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm CST. It may be necessary, given the business need, to work occasional overtime.

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

• Making outbound calls to care providers and minimal inbound calls
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Contact care providers (hospitals) on behalf of the customer to assist with claims related issues or concerns
• Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues

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.

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of customer service experience
• Administrative experience (i.e. office, administrative, clerical, customer service, etc.)
• Experience with Microsoft Excel (ability to create, edit, filter and sort through spreadsheets)
• Experience with Microsoft Word (ability to create and edit spreadsheets)
• Experience with Microsoft Outlook (ability to send/receive emails and calendar invites)
• Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Experience in a fast paced or production environment
• Ability to work Monday - Friday, 08:00am - 05:00pm CST.

• Experience processing medical, dental or prescription claims
• Familiarity with UB04’s
• Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work

• 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 United Health Group approved high-speed internet connection or leverage an existing high-speed internet service.

• Demonstrated ability to listen skillfully, collect relevant information, build rapport…