Claims Adjuster

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

Required Qualifications

• A High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 1+ years of experience processing medical, dental, prescription or mental health claim
• 1+ years of experience processing claims using Facets
• 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
• Facets experience
• Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• To work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications

• Experience using EnterpriseNow

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable)
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting)
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay and Benefits

• Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
• In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
• No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives

About the Role

• This position is National Remote
• You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges
• Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives
• The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best
• Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities
• Come make an impact on the communities we serve as you help us advance health optimization on a global scale
• Join us to start Caring. Connecting. Growing together

Schedule

This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm. It may be necessary, given the business need, to work occasional overtime

Benefits

• We offer 8 weeks of on-the-job training. The hours of training will be aligned with your schedule

Pay

• The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants