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Claims Representative - Wausau, WI-315987: UnitedHealth Group

Job ID315987
Company NameUnitedHealth Group
Job CategoryLegal; Healthcare
LocationWausau, WI
Position TypeFull-Time, Employee
ExperienceUnspecified
Date PostedNovember 13, 2009 (Reposted Dec 15)


Job Category:
Claims

Reference Code:
315987

Position Type:
Full-time, Regular




UnitedHealth Group is among the most ambitious Fortune 25 companies you'll ever meet. Through our family of businesses, we're working to make the health care system perform better for more people, in more ways than ever.

Simply put, we think the entire system can be greater than it's ever been. And that drives us to work harder, aim higher, and expect more from one another.

Here, you'll be empowered to make an immediate impact for millions of others. And you'll achieve more than you ever expected. How does that fit with your plans?


Claims Representative - Wausau, WI-315987

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.

Description

UnitedHealthcare is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
When you work with UnitedHealthcare, what you do matters. It's that simple...and it's that challenging.
In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.
Position Description:
Positions in this function are responsible for assisting those who sell and service the Self-Funded. Team members must perform with a high-level of expertise and product knowledge, provide technical assistance and support to the Account Management staff by servicing as a liaison between the Account Management and processing staff.
Primary Responsibilities:
  • Create and maintain summary plan descriptions and booklets for new customers
  • Create and maintain amendments and restatements for renewal and mid-term customers
  • Assist with technical processing of summary plan descriptions and booklets for customers
  • Complete entry of benefit and demographic customer information in Plan Benefits Database for display on the web and as a tool for internal departments
  • Complete entry of sold services and fees into the ASO DB for new customers
  • Review processing questions for possible coding corrections
  • Provide the very best customer service to both internal and external customers
  • Contribute to team effort by accomplishing unit results
Regardless of your role at UnitedHealthcare, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So take the first step in what is sure to be a fast paced and highly diversified career.

Qualifications

Qualifications:
  • 2 + years of any type of claims experience
  • Microsoft Word, Excel is required
  • Applies knowledge/skills to a range of moderately complex activities
  • Proactively identifies solutions to non-standard requests
  • High school education or equivalent experience
  • Ability to set priorities, multi-task and be self-motivated
  • Effective written and oral communication skills
  • Knowledge of group product lines and Corporate Operations
  • Ability and willingness to accept and work in a changing environment
  • Works independently
  • Ability to work well in an environment with high standards for quality and turnaround with minimal supervision
  • Effective written and oral communication skills
  • Ability and willingness to accept and work in a changing environment
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.




Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



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