Claims Clerk

We need to output HTML fragment with sections: About the role, Responsibilities, Requirements (maybe combine Required and Preferred?), Benefits, Pay, Schedule. Must not repeat job title. Must not include boilerplate like EEO, legal, etc. Must preserve all substantive info. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. We need to parse the posting. Key content: - Intro: "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. 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." That's about the role. - The Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:30 am - 9:00 pm CST. It may be necessary, given the business need, to work occasional overtime. We offer 6-8 weeks of on-the-job / shadow based training. The hours during training will be 8:00 am to 4:30 pm CST, Monday - Friday. Duration for training is based on the individual candidate and their needs. - Primary Responsibilities list: Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorize the appropriate payment or refers claims to investigators for further review. Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary. Analyze and identify trends and provide reports as necessary. (duplicate) Consistently meet established productivity, schedule adherence, and quality standards. Recognize claims by determining claim type - HCFA, Hospital, UB, Dental and/or RX. Identify more complicated claims and refer them to Senior Claim Processor or Supervisor. Work claims files to ensure the appropriate eligibility and provider records are matched to the claim. Updates and maintains claims tracking database. 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 equivalent work experience. Must be 18 years of age OR older. 2+ years of experience with Microsoft Excel and Microsoft Outlook, including the ability to create, edit, save and send documents, spreadsheets and correspondence. Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications. Ability to work 6:30 am - 9:00 pm CST. It may be necessary, given the business need, to work occasional overtime. - Preferred Qualifications: 2+ years of data entry experience. 1+ years of experience working with medical claims. 1+ years of working in production-based environment. 1+ years of experience in an office setting environment using a computer as the primary instruments to perform job duties. Ability to type 60+ WPM. Basic understanding of healthcare claims including ICD-10 and CPT codes. - Telecommuting Requirements: Ability to keep all company sensitive documents secure (if applicable). Required to have a dedicated work area established that is separated from other living areas and provides information privacy. Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. - Pay: "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. The hourly pay for this role will range from $16 - $25 per hour based on full-time employment. We comply with all minimum wage laws as applicable." - Benefits: Already mentioned in pay paragraph: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution. Also maybe mention training? But training is separate. - Schedule: "Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:30 am - 9:00 pm CST. It may be necessary, given the business need, to work occasional overtime." Also training hours: 8:00 am to 4:30 pm CST, Monday - Friday. - Also mention "This position is full time." We need to decide sections: About the role (intro), Responsibilities (primary responsibilities), Requirements (maybe combine Required and Preferred? Could separate but we want few substantive sections. Could have "Qualifications" covering both required and preferred. Or "Requirements" for required, "Preferred Qualifications" optional. But we should only include sections if there is real specific content. We have both required and preferred; we could combine into a single "Qualifications" section with subheadings? But spec says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have separate headings for Requirements and Qualifications? They list both as possible headings. Probably we should use "Requirements" for required qualifications and "Preferred Qualifications" maybe as part of Requirements? But they didn't list "Preferred Qualifications" as a heading example; they listed Qualifications. So we could put both required and preferred under a "Qualifications" section, maybe separate lists: Required and Preferred. Or we could have "Requirements" for required and "Qualifications" for preferred? Might be confusing. Better: Use "Requirements" for required qualifications, and "Qualifications" for preferred? But they said "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So they expect those headings. We can include both Requirements and Qualifications sections if we have content for each. Required qualifications are definitely there. Preferred qualifications also there. So we can have Requirements (required) and Qualifications (preferred). Or we could combine but then we would have only one of them; but we have content for both, so better to split. Also we need Benefits section: we have benefits info. Pay section: we have pay range. Schedule section: we have schedule info. We also might have a "Skills" section? Not explicitly listed; we could omit if no specific skills beyond those in qualifications. Could include skills like Microsoft Excel, Outlook, data entry, typing, etc. But we already have them in qualifications. Might be redundant. Probably omit Skills. We must not include boilerplate like EEO, legal, drug-free workplace, etc. Also remove "Application Deadline", "Job posting may come down early", "At UnitedHealth Group, our mission..." etc. Also remove "Telecommuting Requirements" maybe we can incorporate into Requirements or Benefits? It's about remote work requirements; could be part of Requirements (maybe under "Telecommuting Requirements" but not a heading). We could include as a paragraph under Requirements or maybe under "About the role". But we need to preserve all substantive information. So we need to include telecommuting requirements somewhere. Could be a separate section? Not in the list of headings. Could be part of "Requirements" as a bullet list. We must not include duplicated lines. There's duplicate line: "Analyze and identify trends and provide reports as necessary." appears twice. We should keep only one. Also duplicate "Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary." and the duplicate similar. We'll keep one. Now craft HTML. Structure:

About the role

... intro paragraph(s) ...

Responsibilities

• Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims.
• Authorize the appropriate payment or refer claims to investigators for further review.
• Conduct data entry and re-work; analyze and identify trends and provide reports as necessary.
• Consistently meet established productivity, schedule adherence, and quality standards.
• Recognize claims by determining claim type - HCFA, Hospital, UB, Dental and/or RX.
• Identify more complicated claims and refer them to Senior Claim Processor or Supervisor.
• Work claims files to ensure the appropriate eligibility and provider records are matched to the claim.
• Update and maintain claims tracking database.
• Be rewarded and recognized for performance in an environment that challenges you and provides clear direction for success and development for other roles you may be interested in.

Note: The last bullet about rewarded and recognized is from the sentence after responsibilities.

Requirements

• High School Diploma / GED or equivalent work experience.
• Must be 18 years of age or older.
• 2+ years of experience with Microsoft Excel and Microsoft Outlook, including ability to create, edit, save and send documents, spreadsheets and correspondence.
• Basic proficiency with computer and Windows PC applications, including ability to learn new and complex computer system applications.
• Ability to work 6:30 am – 9:00 pm CST; occasional overtime may be required based on business need.
• Telecommuting requirements: ability to keep company sensitive documents secure; dedicated work area separated from other living areas ensuring information privacy; must reside in a location that can receive a UnitedHealth Group‑approved high‑speed internet connection or use an existing high‑speed internet service; must adhere to UnitedHealth Group's Telecommuter Policy.

Qualifications

• 2+ years of data entry experience.
• 1+ years of experience working with medical claims.
• 1+ years of working in a production‑based environment.
• 1+ years of experience in an office setting using a computer as the primary tool.
• Ability to type 60+ WPM.
• Basic understanding of healthcare claims including ICD‑10 and CPT codes.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution.

Pay

Hourly pay ranges from $16 to $25 per hour for full‑time employment, based on factors such as local labor markets, education, work experience and certifications. Minimum wage laws are complied with.

Schedule

Full‑time role with flexibility to work any 8‑hour shift during normal business hours of 6:30 am – 9:00 pm CST; occasional overtime may be required. Training period (6‑8