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Claims Representative Associate - Irvine, CA

Remote, USA Full-time Posted 2025-05-22

About the position

The Claims Representative Associate position at UnitedHealth Group involves supporting the processing of pharmacy claims and ensuring accurate information management. This role is essential in connecting individuals with the necessary resources to improve health outcomes, while also providing opportunities for career development and recognition for performance. The position requires flexibility in working hours and the ability to work both remotely and on-site in a hybrid environment.

Responsibilities
• Support incoming mail for the team
,
• Process information from the system of files scanned, validating files as needed
,
• Run a MACRO in the internal system daily
,
• Work on projects as assigned by leadership

Requirements
• High School Diploma / GED
,
• Must be 18 years of age OR older
,
• Familiarity with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
,
• Ability to work on site in the Irvine location 2-3 times per weeks
,
• Ability to work any of our 8-hour shift schedules during our normal business hours of 7:30am - 4:00pm PST, Monday - Friday. It may be necessary, given the business need, to work occasional overtime or weekends

Nice-to-haves
• 1+ years of experience processing pharmacy or prescription claims, OR in a PBM (pharmacy benefit setting OR environment)
,
• Experience using Microsoft Teams OR Microsoft Excel
,
• Pharmacy Tech experience

Benefits
• Comprehensive benefits package
,
• Incentive and recognition programs
,
• Equity stock purchase
,
• 401k contribution

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