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Senior Claims Representative - South Portland, ME

UnitedHealth Group


Location:
South Portland, ME
Date:
02/20/2018
2018-02-202018-03-21
Job Code:
749745
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Job Details

749745 Senior Claims Representative South Portland ME

Senior Claims Representative - South Portland, ME (749745)

Position Description

Position Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.

Primary Responsibilities:
  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
  • Authorize appropriate payment or refer claims to investigators for further review
  • Analyze and identify trends and provides reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Provide excellent customer service
  • Managing a caseload of initial liability and ongoing Financial Protection claims
  • Effectively and professionally utilize sound judgment, technical knowledge, communication skills, and focused resources (medical, vocational, legal, etc.) to manage claims to appropriate conclusion in accordance with applicable internal and external regulations, policies and procedures
Required Qualifications:
  • High School Diploma / GED or higher
  • Experience in using Microsoft Excel to create and maintain spreadsheets
  • 1+ years of customer service experience in solving customer problems
  • Experience in using Microsoft Word to create letters
Preferred Qualifications:
  • Bachelor's Degree (or higher)
  • 1+ years of experience with disability claims
Soft Skills:
  • Work in a fast-paced environment
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Physical Requirements and Work Environment:
  • Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse
  • Office environment
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.
 
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.

Keywords: medical claims, healthcare claims, claims processing, claims processor; UnitedHealth Group, UnitedHealth care

Job Details

  • Contest Number749745
  • Job TitleSenior Claims Representative - South Portland, ME
  • Job FamilyClaims
  • Business SegmentUHC Benefit Ops - EandI Ops

Job Location Information

  • South Portland, ME
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusNon-exempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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