Claims Representative,

Summary: UnitedHealthcare is the nation's largest third-party administrator, providing consumer-oriented health benefit plans. The Claims Representative will be responsible for reviewing, researching, investigating, negotiating, processing, and adjusting claims, while ensuring accuracy and compliance with established standards. Responsibilities: - Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims - Analyze and identify trends and provide reports as necessary - Consistently meet established productivity, schedule adherence and quality standards Required Qualifications: - High School Diploma / GED OR equivalent work experience - Must be 18 years of age OR older - Proficiency with Windows PC applications, which includes the ability to navigate multiple programs and learn new and complex computer system applications - This position is onsite at 115 W WAUSAU AVE, WAUSAU, 54401, candidates must be able to work full time at this role - Ability to work full time (40 hours / week), Monday - Friday. Employees have the flexibility to work an 8-hour shift schedule during our normal business hours of 7:00am - 8:00pm CST. It may be necessary, given the business need, to work occasional overtime Preferred Qualifications: - 1+ years of experience in a related environment (i.e., office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools - 1+ years of experience with processing medical, dental, prescription, OR mental health claims Required Skills: Claims Processing, Medical Claims, Dental Claims, Prescription Claims, Mental Health Claims, Windows PC Applications, Computer System Navigation Benefits: Comprehensive benefits package, Incentive and recognition programs, Equity stock purchase, 401k contribution