Associate Claims Representative jobs in United States
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Optum ยท 6 hours ago

Associate Claims Representative

positionUnited States
timeFull-time
remoteRemote
seniorityEntry Level
money$16/hr - $27.69/hr
date1+ years exp

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.

EducationHealth CareMedicalPharmaceutical
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H1B Sponsor Likelynote

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

Qualification

Customer service experienceMicrosoft ExcelMicrosoft WordMicrosoft OutlookComputer proficiencyClaims processingHIPAA knowledgeTelephone skillsDetail orientedConflict management

Required

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

Preferred

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

Optum

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Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
dateFounded in 2011
location
Eden Prairie, Minnesota, USA
people-size10001+ employees
web-link
https://www.optum.com/

H1B Sponsorship

Optum has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)

Funding

Current Stage
Late Stage

Leadership Team

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Daniel Castillo
Chief Executive Officer, Optum Care Delivery
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J
Jay Green
Chief Financial Officer
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Recent News

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Optum to lay off 572 workers, close NJ medical clinics
2025-11-07
Company data provided by crunchbase