1+ months

Associate Claims Representative - Kingston, NY (Job Fair)

Kingston, NY 12401
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  • Job Code
    829877
Join Us at Our Virtual Career Fair
Tuesday, June 18, 2019 from 11:00am to 1:00pm
Connect from your smartphone, tablet, or computer to chat with recruiters and learn more about our exciting Claims opportunities! Register here for the event

We strongly encourage you to apply in advance of the event if you are interested in this opening. Attendance at the event isn't required to be a candidate for potential employment.


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


As an Associate Claims Representative, you'll be responsible for analyzing complex healthcare claims that require research to determine action steps and mathematical calculations necessary to produce an accurate payment. The claims position requires a high level of quality which is to be maintained while achieving a productivity goal. You'll put your skills and talents to work as you review, research, and process medical claims. It's complex, detailed work. It's a fast-paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment! 


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 (6:00am-6:00pm). It may be necessary, given the business need, to work occasional overtime. Our office is located at 505 Boices Lane, Kingston, NY 12401.


There are several steps in our hiring process. Please make sure that you have filled out all required sections of your employment application.  Once you submit your completed application, you will receive an e-mail with information regarding next steps including any pre-employment assessment(s) that are required.  Both your application and any required assessment(s) need to be completed before we can consider you for employment so the sooner you complete these two steps, the sooner you will hear from us. To learn more, go to: http://uhg.hr/OurApplicationProcess


Primary Responsibilities

  • Review, research, solve and process assigned work. This would include navigating multiple computer systems and platforms (e.g. verify pricing, prior authorizations, applicable benefits)
  • Ensure that the proper benefits are applied to each claim by using the appropriate tools, processes and procedures (e.g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/ certificates tool)
  • Independently complete on a daily basis all documentation and communicate the status of claims as needed adhering to all reporting requirements
  • Communicate through correspondence with members and providers regarding claim payment or required information, using clear, simple language to ensure understanding
  • Learn and leverage new systems and training resources to help apply claims processes/procedures appropriately (e.g. on-line training classes, coaches/mentors)
  • Meet and maintain the performance goals established for the position in the areas of quality, production and attendance


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Posted: 2019-06-19 Expires: 2019-08-13

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.

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Associate Claims Representative - Kingston, NY (Job Fair)

UnitedHealth Group
Kingston, NY 12401

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