Senior Claims Representative - Tampa, FL
UnitedHealth Group - Tampa, FL

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Position Description:
United Healthcare International Global Solutions is an innovative program is designed to help U.S.-based employers achieve the highest level of expatriate success by ensuring a seamless, successful experience for employees and their families as they relocate overseas. Our team of multi-lingual professionals, located in Tampa, FL, is caring, innovative and provides decisive personalized service to members, providers, plan sponsors, brokers and vendors 24 hours a day, seven days a week, 365 days a year. Now is the time to apply for this exciting position within United Healthcare International Global Solutions.
The Medical Claims Representative is responsible for the accurate processing and completion of US and International medical claims.

Primary Responsibilities:
Process claims that route out of automatic adjudication, within current turnaround standards

Ability to understand and apply plan concepts to include:
Deductible
Coinsurance
Copay
Out-of-pocket
State variations
Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
Recognize issues related to variable deductible, coordination of benefits; carve-out alternate benefits.
Authorize appropriate payment or refer claims to investigators for further review
Analyze and identify trends and provides reports as necessary
Consistently meet established productivity, schedule adherence, and quality standards
Provide excellent customer service
Benefit Plan Set-up Testing

Requirements:
An education level of at least a high school diploma or GED

2+ years of US Healthcare Insurance, medical claims adjudication experience is required

Intermediate proficiency with MS Word, MS Excel and professional email required

Previous experience working in the healthcare industry is required

Must be able to work occasional overtime as business needs requireAssets:

All bi-lingual language skills are a plus
Experience with UNET platform is preferred

Physical Requirements and Work Environment:
Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
Office environment
UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/VUnitedHealth 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.

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