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Claims Representative - Green Bay, WI

Company: UnitedHealth Group
Location: Green Bay
Posted on: March 28, 2020

Job Description:

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work . SM Primary 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 Attention to detail is critical to ensure accuracy which will support 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. Required Qualifications: High School Diploma / GED (or higher) 2+ years of Customer Service, health claim adjustment or other work experience in the health insurance / healthcare industry 2+ years of experience in a healthcare or office setting using the telephone and computer as the primary instruments to perform job duties 2+ years of work experience working on a computer in Windows applications with the ability to learn new and complex computer systems Ability to work 40 hours per week within the operating hours of the site with overtime and weekends as needed Preferred Qualifications: Basic understanding of Healthcare claims including ICD - 10 and CPT codes 1+ years of experience working with Medical claims Customer service telephone experience 1+ years working in production - based environment Soft Skills: Professional communication skills, both written and verbal Must be well organized and able to multi - task (including managing file caseloads with various due dates and follow - up dates) Ability to work well with a team and maintain a positive attitude Adaptable to rapidly changing work environment Ability to be flexible and open to new ideas Physical and Work Environment: Ability to work in a dynamic environment, both independently and in a group setting Ability to work 8 hr shifts Monday - Friday between 6:30 am - 5:00 pm Prolonged periods of sitting at desk / computer using hands/fingers across keyboard or mouse Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. SM Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Keywords : UnitedHealth Group, Green Bay, Indianapolis, Claims Representative, Claims Support, Reviewing, Researching, Investigating, Negotiating, Processing a nd Adjusting claims

Keywords: UnitedHealth Group, Green Bay , Claims Representative - Green Bay, WI, Other , Green Bay, Wisconsin

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