About Company
UnitedHealth Group is a global leader in healthcare innovation, committed to helping people live healthier lives and making the health system work better for everyone. Through our diverse family of businesses, including Optum and UnitedHealthcare, we serve millions worldwide, delivering comprehensive health benefits and services, advanced data analytics, and cutting-edge technology solutions. Our mission is to improve healthcare access, affordability, and quality for individuals and communities across the globe. We believe that a healthier world starts with healthy people, and we are dedicated to fostering a supportive and inclusive environment where our employees can thrive and make a tangible difference. Join a team that’s focused on creating a future where healthcare is simpler, smarter, and more compassionate.
Job Description
UnitedHealth Group is urgently seeking a dedicated and meticulous Claims Processor to join our dynamic team in Bristol, England. This is a critical role at the heart of our operations, ensuring the accurate and timely processing of healthcare claims, which directly impacts our members’ ability to access essential medical services and reflects our commitment to exceptional service. As a Claims Processor, you will be responsible for reviewing, analysing, and adjudicating a high volume of medical and pharmaceutical claims in accordance with company policies, regulatory guidelines, and client agreements. Your ability to understand complex benefit plans, interpret medical documentation, and apply critical thinking to resolve discrepancies will be paramount. This role offers an incredible opportunity to contribute directly to the efficiency and integrity of the healthcare system, ensuring our members receive the support they need when they need it most. We are looking for an individual with a keen eye for detail, strong analytical skills, and a passion for accuracy. You will navigate various systems and databases, collaborating with internal teams to ensure seamless workflow and customer satisfaction. The ideal candidate will thrive in a fast-paced environment, possess excellent organisational skills, and demonstrate a commitment to continuous learning in a constantly evolving healthcare landscape. If you are eager to launch or advance your career in healthcare administration with a world-renowned organisation, and you are ready to make a significant impact on people’s lives every day, we encourage you to apply for this urgent opening.
Key Responsibilities
- Accurately and efficiently process a high volume of medical, dental, and/or pharmaceutical claims in compliance with established procedures, client contracts, and regulatory requirements.
- Review claims for completeness, accuracy, and adherence to policy terms, identifying and resolving any inconsistencies or missing information.
- Interpret complex medical terminology, procedure codes (e.g., CPT, ICD-10), and diagnostic information to determine appropriate claim adjudication.
- Utilise various internal systems and resources to research policy benefits, provider eligibility, and member history.
- Communicate effectively with internal departments, providers, and members to gather necessary information or resolve claim-related inquiries, ensuring a high level of customer service.
- Maintain strict confidentiality and adhere to all data privacy regulations (e.g., GDPR) when handling sensitive health information.
- Identify and report potential fraud, waste, and abuse situations to the appropriate channels.
- Participate in ongoing training and development to stay current with changes in healthcare regulations, company policies, and system updates.
- Meet or exceed daily production and quality targets, contributing to team and departmental goals.
Required Skills
- Excellent attention to detail and accuracy
- Strong analytical and problem-solving abilities
- Proficiency in basic computer applications (Microsoft Office Suite)
- Ability to work independently and as part of a team in a fast-paced environment
- Effective written and verbal communication skills
- High school diploma or equivalent
- Demonstrated ability to maintain confidentiality and handle sensitive information with discretion
Preferred Qualifications
- Previous experience (1+ year) in claims processing or healthcare administration
- Familiarity with medical terminology, ICD-10, and CPT codes
- Experience with healthcare claims processing software/systems
- Understanding of health insurance benefit plans and common industry practices
- Associate's or Bachelor's degree in a related field
Perks & Benefits
- Competitive salary and performance-based bonuses
- Comprehensive health and wellness benefits package
- Generous paid time off and holidays
- Pension scheme with company contribution
- Opportunities for professional development and career advancement within a global organisation
- Employee assistance program for personal and professional support
- Modern office environment with excellent transport links
- Discount programmes and employee perks
How to Apply
To apply for this urgent and exciting opportunity, please click on the application link below. You will be redirected to our careers portal where you can submit your detailed CV and a cover letter outlining your relevant experience and why you are the ideal candidate for this role. We encourage you to highlight your commitment to accuracy and customer service in your application. We look forward to reviewing your application.