28 days old

Senior Claims Representative - South Portland, Maine

South Portland, ME 04106
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  • Job Code
    883068

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.


This is an opportunity that's all about where you've been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group, your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We'll look for your experience and expertise to help keep our service levels and accuracy extremely high. We'll also look for your ideas on how to constantly evolve our claims processes. We'll back you with the great training, support and opportunities you'd expect from a Fortune 6 leader.  


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 8am - 6pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 300 Southborough Dr., South Portland, Maine.


This is a challenging role that takes an ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will ensure timely processing of the member's claim.


What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/


Primary Responsibilities:

  • Assist with escalated claims to resolve complex issues for team members and internal customers

  • Support implementation of updates to the current procedures and assist with new system training / mentoring

  • Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim

  • Analyze and identify trends and provides reports as necessary

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.

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Posted: 2020-09-02 Expires: 2020-10-09

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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Senior Claims Representative - South Portland, Maine

UnitedHealth Group
South Portland, ME 04106

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