Claims Representative Associate

Are you a detail-oriented individual with a passion for helping others? Do you thrive in a fast-paced environment and have a knack for problem-solving? UnitedHealth Group is seeking a Claims Representative Associate to join our team and make a difference in the lives of our members. In this role, you will be responsible for investigating, processing, and resolving healthcare claims in a timely and accurate manner. If you possess strong communication skills, a customer-focused mindset, and a desire to grow in the healthcare industry, we want to hear from you! Join us in our mission to help people live healthier lives and make a positive impact on the healthcare industry.

1. Investigate and process healthcare claims in a timely and accurate manner.
2. Utilize problem-solving skills to resolve complex claims and issues.
3. Maintain a high level of attention to detail to ensure accuracy in claims processing.
4. Communicate effectively with team members, providers, and members to gather necessary information and provide updates on claims status.
5. Adhere to company policies and procedures in handling claims and maintaining confidentiality.
6. Use critical thinking skills to review and analyze claims for potential fraud or abuse.
7. Meet individual and team productivity and accuracy goals.
8. Collaborate with other departments to ensure timely and accurate claims processing.
9. Continuously develop knowledge of healthcare policies and procedures to accurately process claims.
10. Provide exceptional customer service to members and providers, responding to inquiries and resolving issues in a timely and professional manner.
11. Identify and escalate trends in claims processing to improve efficiency and accuracy.
12. Actively participate in training and development opportunities to enhance skills and knowledge.
13. Maintain compliance with all applicable regulations and laws related to claims processing.
14. Contribute to a positive and collaborative team environment.
15. Support the company's mission to improve the health and well-being of our members.

According to JobzMall, the average salary range for a Claims Representative Associate in San Diego, CA, USA is $41,000-$49,000 per year. However, this can vary based on factors such as experience, company size, and industry. Additionally, some companies may offer bonuses and benefits that can affect the total compensation package. It is recommended to research specific companies and job postings to get a more accurate understanding of the salary range for this position.

UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.