UnitedHealth Group Claims Representative - Irvine, CA in Irvine, California

Energize your career with one of Healthcare’s fastest growing companies.

You dream of a great career with a great company – where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

This opportunity is with one of our most exciting business areas: Optum –a growing part of our family of companies that make UnitedHealth Group a Fortune 6 leader.

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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:

  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims

  • Analyze and identify trends and provide reports as necessary

  • Consistently meet established productivity, schedule adherence, and quality standards

Required Qualifications:

  • High School Diploma / GED (or higher)

  • 2+ years of experience in a customer service role in either a healthcare or pharmacy environment

  • 1+ years of experience in claims processing (healthcare related)

  • Experience working on a computer in Windows applications with the ability to learn other complex computer systems

  • Available to work from 7:30 am - 4:00 pm Monday through Friday with overtime, weekends and holidays as needed

Preferred Qualifications:

  • 1+ years of Healthcare experience

  • 1+ years of Pharmacy Technician experience

  • 1+ years of Medicare knowledge

Soft Skills:

  • Ability to multi - task, this includes ability to understand multiple products and multiple levels of benefits within each product

Physical Requirements and Work Environment:

  • Extended periods of sitting at a computer and use of hands / fingers across keyboard or mouse

  • Office environment

OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do.

If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing 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 employmen t.

Keywords: United Health Group, United Health Care, Claims, Processing, Customer Service, Analyst, Audit, Pharmacy, Medical