Claims Adjustment Representative - Dubai

UnitedHealthcare is seeking a Claims Adjustment Representative to join our team in a national remote capacity. In this role, you’ll play a critical part in simplifying the healthcare experience, improving community health outcomes, and supporting the processing of claims accurately and efficiently. This is a full-time position (40 hours/week), Monday through Friday, with flexible 8-hour shifts within normal business hours (8:00am – 5:00pm CST). Occasional overtime may be required.
Training:
• 15 weeks of paid virtual training, Monday – Friday, 8:00am – 4:30pm CST
• 100% attendance during training is required
Primary Responsibilities:
• Update claims information following research and communications with providers, health plans, or state compliance offices
• Perform claim adjustments ensuring correct benefits are applied using established processes, including CMS/Medicare/Medicaid guidelines
• Communicate with health plans and internal partners to resolve claim issues clearly and accurately
• Leverage new systems and resources to ensure proper claims processing
• Meet claim turnaround times and metric deliverables
• Conduct data entry, rework, trend analysis, and daily reporting in a high-volume claims environment
Required Qualifications:
• 6+ months of claim processing or insurance/medical experience
• Knowledge of Medicare/Medicaid processes
• Proficiency in Windows 365 applications and ability to learn new software
• Ability to work full-time and flexible shifts
Preferred Qualifications:
• 1+ years experience with Medicaid and Medicare regulations
• 2+ years experience processing claims or reworks
• Experience with Facets (CSP Platform) and Work Distribution Application
• Intermediate Microsoft Teams, Outlook, PowerPoint, and Excel skills
Telecommuting Requirements:
• Maintain a dedicated work area with information privacy
• Secure high-speed internet connection
• Adhere to UnitedHealth Group’s Telecommuter Policy
Soft Skills:
• Strong written and verbal communication to explain complex insurance terms clearly
• Detail-oriented, solution-driven, critical thinker, and results-focused
Benefits:
• Comprehensive benefits package including health, equity, 401(k), incentives, and recognition programs
• Competitive hourly pay based on experience and qualifications
• Career development opportunities within a diverse and equitable workplace
APPLY HERE
https://gulfcareerhunt.com/hiring-claims-adjustment-representative-remote-usa/

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