Claims Examiners - Full Time!

Claims Examiner (Full-Time!) VIRTUAL JOB FAIRSee what we’re all about,visit our Virtual Job Fair at:[new-line]www.UHGjobsonline.com  JOIN UNITEDHEALTH GROUP, A LEADING FORTUNE 100 COMPANY, IN PLANO!! UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards. Primary Responsibilities: Adjudicate claims for specified account(s) as assigned by Claims Management based on appropriate goals for an Examiner Level 1. Authorizes the appropriate payment or refers claims to investigators for further review. Maintains production and quality within assigned limits as indicated by College Claims Team Lead and College Claims Supervisor. Responsible for maintaining the appropriate follow up and closure of all pended claims for assigned schools. Review, signoff and return audit errors within 24 hours Complete claims issue queue for each assigned school in 24 hours.  Moderate work experience within own function. Some work is completed without established procedures. Basic tasks are completed without review by others. Supervision/guidance is required for higher level tasks. Other duties as assigned by management. Qualifications: High school education or equivalent experience required. 1+ years experience in claims adjudication is required. Strong knowledge of medical terminology, CPT codes and ICD-9 codes.  Previous healthcare experience working for an insurance company is required. Strong understanding of medical claims processing (adjudication) using a windows-based system. Ability to read and interpret health insurance policies and answer coverage questions. Computer proficiency in a windows-based environment. Strong computer keyboarding skills, minimum typing speed of 40 wpm. 10 key by touch. Excellent oral and written communication skills. Strong interpersonal skills. Strong problem solving, including organizational and prioritization skills. Ability to work independently as well as part of a team. Ability to work in a fast paced environment and manage multiple priorities. Visit us at www.UHGjobsonline.com.  We are currently recruiting for Full-Time Claims Examiners to work in our state-of-the-art Service Center. If an opportunity to work for one of America’s premier companies is exciting to you, then log on NOW to experience our interactive, multimedia virtual job fair.  Find out today all you need to know about our company, our jobs, our culture, compensation and benefits! We Offer:  Competitive pay.  Paid training. Comprehensive medical and dental benefits. 401(k) savings plan with matching funds. Employee stock purchase plan. Generous vacation and holiday schedule. Dependent care spending account. Much more!  GO ONLINE TO ATTEND THE VIRTUAL JOB FAIR AT www.UHGjobsonline.com!  If you’re unable to log on, we’d still like to hear from you. You may email your resume to: UHGPlano@uhgrecruitmentservices.com . Diversity creates a healthier atmosphere: an 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.