[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