[Remote] Associate Claims Representative

Note: The job is a remote job and is open to candidates in USA. 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. 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 Skills 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 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 Overview Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group. It was founded in 2011, and is headquartered in Eden Prairie, Minnesota, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship Optum has a track record of offering H1B sponsorships, with 648 in 2025, 559 in 2024, 620 in 2023, 851 in 2022, 593 in 2021, 438 in 2020. Please note that this does not guarantee sponsorship for this specific role.