UnitedHealth Group, a global leader in health and well-being, is seeking a Medical Claims Processor (Remote) to join our dynamic and dedicated claims operations team. In this role, you will be responsible for reviewing, analyzing, and processing healthcare claims with accuracy, timeliness, and compliance. You will play a critical role in ensuring that members, providers, and partners experience seamless claims handling and resolution. This is an excellent opportunity for detail-oriented professionals who want to build a rewarding career in the healthcare and insurance industry—all from the comfort of their home.
Key Responsibilities
Review and process medical, dental, or hospital claims promptly and accurately according to policy and regulatory guidelines.
Verify patient eligibility, coverage details, and benefit limits before processing claims.
Analyze documentation and medical records to ensure claims are compliant and properly supported.
Identify discrepancies or incomplete information and follow up with providers or internal teams for clarification.
Enter and maintain claim data using internal claims management systems.
Ensure compliance with HIPAA and company confidentiality standards.
Collaborate with other teams (billing, customer service, audit) to resolve claim-related issues efficiently.
Meet daily and weekly productivity and accuracy goals while maintaining high-quality service standards.
Assist in process improvement initiatives to enhance claims accuracy and turnaround time.
Required Skills and Qualifications
Bachelor’s degree preferred (Healthcare Administration, Business, or related field) or equivalent experience.
Strong understanding of medical claims, insurance billing, and coding (ICD-10, CPT, HCPCS preferred).
Excellent data entry and computer navigation skills.
Exceptional attention to detail and analytical ability.
Strong written and verbal communication skills.
Ability to work independently and meet deadlines in a remote environment.
Basic proficiency with Microsoft Office Suite (Word, Excel, Outlook).
Experience
Minimum 1–2 years of experience in healthcare claims processing, billing, or insurance operations preferred.
Experience working with claims management systems or electronic data processing tools is an advantage.
Fresh graduates with strong analytical and computer skills are also encouraged to apply.
Working Hours
Full-time position with flexible scheduling options.
Standard shifts based on U.S. business hours (Monday to Friday).
Occasional overtime may be required during high-volume periods.
Knowledge, Skills, and Abilities
In-depth knowledge of healthcare insurance principles and claim adjudication processes.
Understanding of managed care concepts and provider reimbursement methodologies.
Strong organizational skills with the ability to prioritize tasks effectively.
High degree of accuracy and reliability in data handling.
Problem-solving mindset with a focus on process efficiency and customer satisfaction.
Ability to maintain confidentiality and adhere to data privacy regulations.
Benefits
Competitive salary package with performance-based incentives.
Comprehensive health, dental, and vision insurance.
Paid time off, holidays, and flexible work arrangements.
Career advancement and continuous training opportunities.
Access to wellness programs and employee assistance resources.
Work-from-home flexibility with all necessary technical support provided.
Why Join UnitedHealth Group
At UnitedHealth Group, you’re not just starting a job—you’re building a meaningful career with a purpose. As part of one of the world’s leading healthcare companies, you’ll be empowered to make an impact on millions of lives through innovation, care, and integrity. You’ll join a diverse, supportive team that values inclusion, growth, and continuous improvement. If you’re passionate about accuracy, service excellence, and making healthcare work better for everyone, this is the right place for you.
How to Apply
Interested candidates are encouraged to apply online through the UnitedHealth Group Careers Portal.