Claims Representative

*This position is National Remote. You'll enjoy the flexibility to telecommute\* from anywhere within the U.S. as you take on some tough challenges.* **Optum Insight** is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** The **Claims Representative / Insight Analyst Assistant** primary duties may include but are not limited to initiating and managing tasks associated with case workflow and adhering to protected health information rules and regulations on behalf of our clients. This position is full\-time, Monday \- Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am \- 5:00 pm. This will be paid on the job training and the hours during training will be normal business hours, Monday \- Friday. **Primary Responsibilities:** * Process medical record submissions through various avenues * Manages cases from the time of opening to the time medical records are received including verification and management of standard turn\-around times on cases, or the case is closed for NMR * Acts as a Subject Matter Expert (SME) and provides exceptional communications with Providers * Requires an individual to maintain the ability to work in an environment with PHI * Understands and adheres to HIPPA privacy requirements * Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** * High School Diploma / GED * Must be 18 years of age OR older * 1\+ years of customer service experience * Experience with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables) and Microsoft Outlook (email and calendar management) * Ability to work any of our full time, shift schedules during our normal business hours of 8:00 am \- 5:00 pm from Monday \- Friday **Preferred Qualifications:** * 1\+ years of experience in healthcare related OR healthcare claim industry **Telecommuting Requirements:** * Ability to keep all company sensitive documents secure (if applicable) * Required to have a dedicated work area established that is separated from other living areas and provides information privacy * Must live in a location that can receive a UnitedHealth Group approved high\-speed internet connection or leverage an existing high\-speed internet service **Soft Skills:** *