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The Claims Rep will work in a call center environment while answering internal and external
Customer questions regarding claims, enrollment, policy, payment status, general information, etc.
Provide expertise or general claims support by reviewing, researching, investigating, processing and adjusting claims information
Document appropriate payment or refer claims to investigators for further review
Analyze and identify trends and provides reports as necessary
Consistently meet established productivity, schedule adherence, and quality standards
Provide excellent customer service
Associates will receive calls from internal and external customers verifying coverage and status of Payments
This position promotes advocacy for the customer and focuses strongly on customer satisfaction
Computer skills and data input skills are critical to be successful in this position
Must have a desire to help internal and external customers by being empathetic
Demonstrating patience and providing accurate information.
Outgoing and energetic attitude
Good listening skills
Excellent problem-solving capabilities
Computer experience (must be able to navigate between multiple applications and input data quickly)
UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.
We are committed to introducing innovative approaches, products and services that can improve personal health and promote healthier populations in local communities. Our core capabilities... in clinical care resources, information and technology uniquely enable us to meet the evolving needs of a changing health care environment as millions more Americans enter a structured system of health benefits and we help build a stronger, higher quality health system that is sustainable for the long term.
We serve our clients and consumers through two distinct platforms:
?UnitedHealthcare, which provides health care coverage and benefits services.
?Optum, which provides information and technology-enabled health services.