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Claims Adjustment Representative - Remote in NY

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UnitedHealthcare

Aug 3, 2024

Applications are closed

  • Job
    Full-time
    Junior (1-2 years)

Requirements

  • Required Qualifications
  • High School Diploma / GED OR equivalent work experience
  • Must be 18 years of age OR older
  • 1+ years of Experience with UNET claims
  • Experience with Microsoft Word (creating / updating documents / letters, and letter formatting) and Microsoft Outlook (creating / sending emails, and calendar invites)
  • Working knowledge with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications (including comfort using shortcuts and demands)
  • Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends
  • Telecommuting Requirements
  • Reside within the State of New York
  • 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
  • Soft Skills
  • Attention to detail
  • Excellent written communication skills
  • Ability to remain focused and productive each day though tasks may be repetitive
  • Ability to multi-task, including the ability to understand multiple products and multiple levels of benefits within each product

Responsibilities

  • Review and research more complicated claims by navigating multiple computer systems and platforms
  • Capture accurately pricing, prior authorizations, applicable benefits, coding, and other information
  • Update claim information based on research and communication from member or provider
  • Complete necessary adjustments to claims and ensures the proper benefits are applied to each claim
  • Communicate extensively with members and providers electronically regarding adjustments to resolve claims errors/issues, using clear, simple language to ensure understanding

FAQs

Do we support remote work?

Yes, this position allows for remote work as long as you reside within the State of New York.

What are the working hours for this position?

This is a full-time position with working hours from 8:00 am to 5:00 pm, Monday through Friday. Flexibility to work any 8-hour shift during those hours is required.

Is training provided for this role?

Yes, we offer 4 to 6 weeks of paid training, which will be conducted virtually from your home.

What qualifications are required for this job?

A high school diploma/GED or equivalent experience is required, along with 1+ years of experience with UNET claims and proficiency in Microsoft Word and Outlook.

Are there any specific telecommuting requirements?

Yes, telecommuters must reside in New York, have a dedicated work area, and maintain a secure environment for sensitive company documents, along with a reliable high-speed internet connection.

What skills are emphasized for this position?

Key skills include attention to detail, excellent written communication, the ability to remain focused on repetitive tasks, and multitasking capabilities.

What is the pay range for this position?

The hourly pay range is $16.54 - $32.55, based on various factors including local labor markets and individual qualifications.

Does UnitedHealth Group provide additional benefits?

Yes, in addition to salary, UnitedHealth Group offers a comprehensive benefits package, including incentive programs, equity stock purchase options, and 401k contributions.

Is there an emphasis on diversity and inclusion at UnitedHealth Group?

Yes, UnitedHealth Group is committed to diversity and inclusion, and we believe that everyone deserves the opportunity to live their healthiest life.

Is drug testing required for employment?

Yes, all candidates are required to pass a drug test before beginning employment at UnitedHealth Group.

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UnitedHealthcare

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

When it comes to your health, everything matters. That’s why UnitedHealthcare is helping people live healthier lives and making the health system work better for everyone. Our health plans are there for you in moments big and small, delivering a simple experience, affordable coverage, and supportive care. Wherever your health takes you, we're there for what matters. At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable for all involved; one that delivers high quality care, responsive to the needs of each person and the communities in which they live. With connections to more than 1.3 million physicians and care professionals and 6,500 hospitals and care facilities across the globe, we can collaborate in new ways to improve patient care while providing customizable and comprehensive solutions in any marketplace, anywhere.

Culture & Values

  • Integrity

    Honor commitments. Never compromise ethics.

  • Compassion

    Walk in the shoes of the people we serve and those with whom we work.

  • Relationships

    Build trust through collaboration.

  • Innovation

    Invent the future. Learn from the past

  • Performance

    Demonstrate excellence in everything we do.

Benefits

  • United Well-being

    United Well-being supports employees in their journey to better health. Resources include: Exercise and mindfulness apps. Tips and recipes for healthy cooking. Wellness coaching and financial tools. A private employee community group.

  • Health and Insurance

    Our medical plans for employees deliver better value and better outcomes. We offer: Copay plans and HSA-eligible plans. Vision and dental plans. Flexible spending accounts. Life insurance, and more.

  • Savings and Retirement

    In addition to competitive pay, we provide financial benefits to help employees manage their money. Benefits include: 401(k) Savings Plan. Employee Stock Purchase Plan. UnitedHealth Group credit union, and more.

  • Paid Time Off (PTO)

  • Paid Company Holidays

  • Parental Leave

  • Employee Assistance Program