[Hiring] Claims Representative REMOTE USA

Position: Claims Representative

Date Posted: October 2, 2025

Industry: Healthcare / Insurance / Claims Processing

Employment Type: Full Time

Experience: 1+ years in office, administrative, clerical, customer service, or claims processing roles

Qualification: High School Diploma or GED (additional certification in healthcare/insurance is a plus)

Salary: $17.74 – $31.63 per hour

Location: Dallas, United States — Remote

Company: Optum (UnitedHealth Group)

Description:
Optum, a division of UnitedHealth Group, is hiring a Claims Representative to join its expanding team. This is a national remote position that offers flexibility to telecommute from anywhere in the U.S. while working on impactful healthcare initiatives. The role involves analyzing, reviewing, and processing healthcare claims, ensuring accuracy and compliance, and contributing to improved health outcomes for millions of individuals.

Key Responsibilities:

• Review, investigate, negotiate, process, and adjust healthcare claims.
• Verify pricing, authorizations, and identify discrepancies.
• Research and analyze claims to ensure timely and accurate resolution.
• Prepare reports and identify trends as needed.
• Consistently achieve productivity, quality, and schedule adherence goals.

Schedule & Training:

• Full-time role (40 hours/week), Monday through Friday.
• Work within an 8-hour shift between 6:00 AM and 6:00 PM (business hours).
• Training provided (up to 8 weeks depending on experience with UNET system).

Required Qualifications:

• High School Diploma or GED.
• Minimum age requirement: 18 years or older.
• At least 1 year of related work experience in office, administrative, customer service, or similar environments.
• Proficiency with computers and Windows-based applications.
• Prior experience using UNET system for healthcare or behavioral health claims.
• Flexibility to work any assigned shift within standard business hours.

Preferred Qualifications:

• Hands-on experience with UNET behavioral health claims processing.

Telecommuting Requirements:

• Must maintain a secure workspace and safeguard confidential documents.
• A dedicated work area that ensures privacy is required.
• Must have access to high-speed internet that meets UnitedHealth Group standards.
• Compliance with UnitedHealth Group’s Telecommuter Policy is mandatory.

Compensation & Benefits:

• Pay ranges from $17.74 to $31.63 per hour depending on experience and qualifications.
• Comprehensive benefits package including medical, dental, vision, incentive programs, 401(k) contributions, equity purchase options, and recognition programs (eligibility requirements apply).

Diversity & Inclusion Statement:
UnitedHealth Group is dedicated to building a workplace guided by inclusion and equity. The company actively works to remove barriers to healthcare and prioritizes equitable care for all communities.

Additional Notes:

• Job postings remain open for at least 2 business days or until sufficient candidates are identified.
• UnitedHealth Group is an Equal Employment Opportunity employer and a drug-free workplace. Pre-employment drug testing is required.

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