[Remote] Associate Claims Representative

Note: The job is a remote job and is open to candidates in USA. Optum is focused on improving the flow of health data and information to create a more connected system. The Associate Claims Representative will engage with care providers and assist with claims-related issues, requiring strong customer service skills and the ability to navigate complex databases.

Responsibilities

• Making outbound calls to care providers and minimal inbound calls
• Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems
• Contact care providers (hospitals) on behalf of the customer to assist with claims related issues or concerns
• Research complex issues across multiple databases and work with support resources to resolve customer issues and/or partner with others to resolve escalated issues

Skills

• High School Diploma / GED
• Must be 18 years of age OR older
• 1+ years of customer service experience
• Administrative experience (i.e. office, administrative, clerical, customer service, etc.)
• Experience with Microsoft Excel (ability to create, edit, filter and sort through spreadsheets)
• Experience with Microsoft Word (ability to create and edit spreadsheets)
• Experience with Microsoft Outlook (ability to send/receive emails and calendar invites)
• Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
• Experience in a fast paced or production environment
• Ability to work Monday - Friday, 08:00am - 05:00pm CST
• Experience processing medical, dental or prescription claims
• Familiarity with UB04's
• Understand and maintain HIPAA confidentiality and privacy standards when completing assigned work

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution

Company Overview

Company H1B Sponsorship