Senior Claims Representative

Employer: UnitedHealth Group

• The Senior Claims Representative – San Antonio, TX or US Remote 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 – 9:00pm).
• It may be necessary, given the business need, to work occasional overtime. Our office is located at 12459 Network Blvd San Antonio, TX 78249.
• Our office is located at San Antonio, TX, but you’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.

Required Qualifications:

• High School Diploma / GED (or higher) OR equivalent years of work experience
• 3+ years of experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools
• 1+ years of experience processing medical, dental, prescription or mental health claims
• Proficiency with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work any of our 8-hour shift schedules during our normal business hours of (6:00am – 9:00pm)
• Full COVID-19 vaccination is an essential requirement of this role if you are required to work on-site. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

Telecommuting Requirements:

• Dedicated work area established that is separated from other living areas and provides information privacy
• Ability to keep all company sensitive documents secure (if applicable)
• Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

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