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Senior Claims Representative - Telecommute in South Portland, ME

06/12/2018Call Center
Job Location:
South Portland, ME
Metro Area:
ME - Portland/Auburn
Company Name: UnitedHealth Group
Website:  Click to Visit
UnitedHealth Group
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.Primary Responsibilities: 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 and Demonstrating patience and providing accurate information Outgoing and energetic attitude Good listening skills Multi - tasking ability Excellent problem - solving capabilities Computer experience (must be able to navigate between multiple applications and input data quickly) Emotional fortitude for high stress situations


Required Qualifications: High School Diploma / GED (or higher) Experience working within a customer service role interacting with internal and external customers and multiple levels of benefits within each product Ability to create and modify spreadsheets, documents, and emails with Microsoft Word, Microsoft Outlook, and Microsoft Excel Flexible to work any shift between 9:30 am - 6:05 pm Monday through Friday and must be flexible to work occasional overtime as neededPreferred Qualifications: Bachelor's Degree (or higher) Medical terminology Familiarity with claims within the insurance industry Bilingual Military ServiceSoft Skills: Ability to be flexible and ability to prioritize, this includes ability to understand multiple productsCareers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customer’s live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords: operational experience, office, healthcare, Financial Protection Products, customer service internal and external customers
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