Claims Representative – Remote – Full Time – Pacific Time Zone – Healthcare Industry – UnitedHealth Group

Join the UnitedHealth Group Team as a Full-Time Remote Claims Representative UnitedHealth Group, a leading global health care company, is seeking a highly skilled and motivated Claims Representative to join our team on a full-time remote basis. As a Claims Representative, you will play a critical role in ensuring that our customers receive the best possible care by providing expertise and support in reviewing, researching, investigating, negotiating, processing, and adjusting claims. If you are a detail-oriented and analytical individual with excellent communication skills, we encourage you to apply for this exciting opportunity. About UnitedHealth Group UnitedHealth Group is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that everyone, regardless of their background, deserves the opportunity to live their healthiest life. With a diverse and inclusive culture, comprehensive benefits, and career development opportunities, UnitedHealth Group is an excellent place to start or continue your career. Job Summary This is a full-time remote position that requires 40 hours of work per week, Monday through Friday. As a Claims Representative, you will work independently from home, providing expertise and support in claims processing, analysis, and resolution. You will be responsible for reviewing, researching, investigating, negotiating, processing, and adjusting claims, as well as analyzing and identifying trends and providing reports as necessary. Key Responsibilities: Provide expertise and support in claims processing, analysis, and resolution Review, research, investigate, negotiate, process, and adjust claims Analyze and identify trends and provide reports as necessary Consistently meet established productivity, schedule adherence, and quality standards Produce an average of 400 claims per day by the end of the week Requirements and Qualifications Essential Qualifications: High school diploma or equivalent required; GED or equivalent years of work experience accepted 18 years or older 1 year of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as primary job tools Proficiency with computer and Windows PC applications, including the ability to learn new and complex computer system applications Ability to work any 8-hour shift schedule during normal business hours (6:00 am – 8:00 pm, Monday – Friday) Flexibility to work occasional overtime as needed Preferred Qualifications: 1 year of experience processing medical, dental, prescription, or mental health claims Skills and Competencies To succeed in this role, you will need: Excellent analytical and problem-solving skills Strong communication and interpersonal skills Ability to work independently and as part of a team Detail-oriented and organized, with excellent time management skills Proficiency with computer applications and ability to learn new systems Career Growth Opportunities and Learning Benefits At UnitedHealth Group, we are committed to the growth and development of our employees. As a Claims Representative, you will have opportunities to: Develop your skills and knowledge in claims processing and analysis Advance to leadership roles or specialized positions Participate in comprehensive training programs Take advantage of tuition reimbursement and career development programs Work Environment and Company Culture UnitedHealth Group is a diverse and inclusive organization that values its employees and offers a supportive work environment. As a remote Claims Representative, you will have the flexibility to work from home and enjoy: A competitive salary and comprehensive benefits package A dynamic and supportive work environment Opportunities for career growth and development A culture that values diversity, equity, and inclusion Compensation, Perks, and Benefits UnitedHealth Group offers a comprehensive compensation package, including: A competitive salary range of $16.54 – $32.55 per hour (for California, Nevada, and Washington residents) A comprehensive benefits package, including medical, dental, and vision coverage Incentive and recognition programs Equity stock purchase and 401(k) contribution (subject to eligibility requirements) Telecommuting Requirements To work remotely as a Claims Representative, you must: Reside within the Pacific Time Zone Have a dedicated work area that is separated from other living areas and provides information privacy Have a high-speed internet connection that meets UnitedHealth Group’s technical requirements Adhere to UnitedHealth Group’s Telecommuter Policy Conclusion If you are a motivated and detail-oriented individual with excellent analytical and communication skills, we encourage you to apply for this exciting opportunity as a Claims Representative with UnitedHealth Group. As a full-time remote employee, you will have the flexibility to work from home and enjoy a comprehensive compensation package, career growth opportunities, and a supportive work environment. Apply now to join our team and start making a difference in the lives of our customers! Apply for this job