Claims Representative - Providence, RI

Description 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. Ingenix 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.
 
If you get excited about the life transforming potential of bringing health care information to the right place, at the right time, to support crucial decisions, welcome to Ingenix.
 
We're one of the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to solve the most significant challenges in health and human services.
 
As a vital member of the UnitedHealth Group family, we serve customers in every segment of the health care field. This includes government agencies, pharmaceutical companies, hospitals and health delivery networks, insurance providers and, of course, the diverse business divisions of UnitedHealth Group.
 
Position Description:
Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.

 

Bring your talent to an industry leader with the information, technology, and consulting expertise to help transform health and human services. No matter what your role, you'll be empowered to ask more questions, develop better solutions and help make the health care system greater than ever.

Requirements Qualifications:

• 1 + years of any type of claims experience
  
• Microsoft Word, Excel is required
  
• IDX Experience is preferred
  
• Applies knowledge/skills to a range of moderately complex activities
  
• Demonstrates great depth of knowledge/skills in own function
  
• Proactively identifies solutions to non-standard requests
  
• Solves moderately complex problems on own
  
• Works with team to solve complex problems
  
• Plans, prioritizes, organizes and completes work to meet established objectives
  
• May coordinate work of other team members
  
• High school education or equivalent experience 
  

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.