
Associate Claims Representative
Welcome to UnitedHealth Group, where we are dedicated to helping people live healthier lives and making the health care system work better for everyone. As an Associate Claims Representative, you will play a vital role in our mission by ensuring that our members receive timely and accurate payment for their medical claims. We are seeking a highly motivated and detail-oriented individual to join our team and help us provide exceptional service to our members. If you have a passion for helping others and the necessary qualifications, we invite you to join our dynamic and collaborative work environment.
- Review and process medical claims in a timely and accurate manner.
- Verify member eligibility and coverage for claims.
- Communicate with healthcare providers and members to obtain necessary information for claim processing.
- Identify and resolve claim errors or discrepancies.
- Adhere to company policies, procedures, and regulatory guidelines.
- Maintain accurate and organized claim records.
- Collaborate with team members to improve processes and ensure efficient claims processing.
- Provide exceptional customer service to members and address any inquiries or concerns.
- Stay updated on industry changes and trends related to healthcare claims.
- Escalate complex or high-value claims to appropriate team members for further review.
- Meet productivity and quality standards set by the company.
- Adhere to strict confidentiality guidelines to protect member and company information.
- Participate in training and development programs to enhance skills and knowledge.
- Contribute to a positive and collaborative work environment.
- Uphold the company's mission and values in all interactions with members and colleagues.
Bachelor's Degree In A Relevant Field Such As Business Administration, Healthcare Management, Or Finance.
Experience In The Insurance Industry, Preferably In Claims Processing Or Customer Service.
Strong Communication And Interpersonal Skills, With The Ability To Handle Challenging Customer Interactions.
Proficiency In Computer Systems And Technology, Including Microsoft Office And Claims Processing Software.
Attention To Detail And Ability To Manage Multiple Tasks And Priorities In A Fast-Paced Environment.
Data Entry
Communication
Time Management
Multitasking
Attention to detail
customer service
Claims Processing
Medical Terminology
Teamwork
Problem-Solving
Adapt
Insurance Knowledge
Communication
Conflict Resolution
Customer Service
Emotional Intelligence
Leadership
Time management
creativity
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Associate Claims Representative in Eden Prairie, MN, USA is $35,000 - $50,000 per year. However, this can vary depending on factors such as experience, company size, and industry. It is always best to research specific job listings and speak with HR representatives for a more accurate salary range.
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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.

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