Associate Claims Representative

Welcome to UnitedHealth Group, where we are committed to helping people live healthier lives and making the health system work better for everyone. We are currently seeking a highly motivated and detail-oriented individual to join our team as an Associate Claims Representative. As an Associate Claims Representative, you will play a critical role in ensuring accurate and timely processing of health insurance claims, helping our members access the care they need. We are looking for individuals who are passionate about making a positive impact on people's lives and possess strong communication and problem-solving skills. If you are ready to be part of a dynamic and collaborative team dedicated to improving the health care experience, then we want to hear from you. Join us at UnitedHealth Group and start making a difference today.

1. Process Health Insurance Claims: The primary responsibility of the Associate Claims Representative is to accurately and efficiently process health insurance claims. This includes reviewing and verifying claim information, determining coverage, and processing payments.
2. Ensure Timely Processing: The Associate Claims Representative must ensure that all claims are processed in a timely manner, meeting all established deadlines and service level agreements. This may involve prioritizing and managing a high volume of claims.
3. Provide Excellent Customer Service: The Associate Claims Representative will be the main point of contact for members and providers regarding claims inquiries. They must provide excellent customer service by responding to inquiries in a timely and professional manner, and addressing any concerns or issues that may arise.
4. Maintain Accurate Records: It is the responsibility of the Associate Claims Representative to maintain accurate and detailed records of all claims processed. This includes documenting any communication or actions taken on a claim, as well as updating member and provider information as needed.
5. Collaborate with Team Members: The Associate Claims Representative will work closely with other team members, including claims examiners, to ensure efficient and effective claims processing. They must be able to communicate clearly and work collaboratively to resolve any issues and meet team goals.
6. Adhere to Policies and Procedures: It is essential for the Associate Claims Representative to adhere to all company policies and procedures, as well as federal and state regulations, to ensure compliance and maintain the integrity of the claims process.
7. Identify and Resolve Issues: As an Associate Claims Representative, it is important to identify and address any issues or discrepancies with claims. This may involve researching and investigating claims, and working with other departments or external parties to resolve issues.
8. Continuously Improve Processes: UnitedHealth Group is committed to making the health system work better for everyone. The Associate Claims Representative should continuously look for ways to improve processes and procedures to enhance the member experience and increase efficiency.
9. Stay Informed on Industry Changes: The health insurance industry is constantly evolving, and it is

According to JobzMall, the average salary range for a Associate Claims Representative in Nashville, TN, USA is $40,000 to $50,000 per year.

This may vary depending on the specific company, years of experience, and other factors such as education and certifications. Some companies may offer higher salaries for those with more experience or additional qualifications.

It is always recommended to research the specific company and their salary ranges for this position to get a better understanding of the potential salary.

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.