Claims Representative

UnitedHealth Group•Wausau, WI

1d•$18 - $32•Onsite

About The Position

This position is Onsite. Our office is located at 115 W WAUSAU AVE, WAUSAU, 54401. UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding. In providing consumer - oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth. Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast-paced and highly diversified career. This position is full time (40 hours / week), Monday - Friday. Employees have the flexibility to work an 8-hour shift schedule during our normal business hours of 7:00am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 9 weeks of paid training. The hours during training will be 8:00am to 4:30pm CST, Monday - Friday. Training will be conducted onsite. This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy, which will impact the timely processing of the member's claim. 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.

Requirements

High School Diploma / GED OR equivalent work experience
Must be 18 years of age OR older
Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications
This position is onsite at 115 W WAUSAU AVE, WAUSAU, 54401, candidates must be able to work full time at this role.
Ability to work full time (40 hours / week), Monday - Friday. Employees have the flexibility to work an 8-hour shift schedule during our normal business hours of 7:00am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime.

Nice To Haves

1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
1+ years of experience with processing medical, dental, prescription, OR mental health claims

Responsibilities

Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
Analyze and identify trends and provide reports as necessary
Consistently meet established productivity, schedule adherence and quality standards