About Company
UnitedHealth Group is a global leader in health care, dedicated to helping people live healthier lives and helping make the health system work better for everyone. With a mission to improve population health and individual well-being, we serve millions worldwide through our diverse family of businesses, including UnitedHealthcare and Optum. Our commitment to innovation, integrity, and compassion drives us to deliver solutions that empower individuals and advance the health care industry. We foster an inclusive environment where every voice is heard, and every contribution is valued, enabling our team members to thrive professionally and personally. Join us and be part of a team that is transforming health care for the better.
Job Description
Are you ready to make a tangible impact on the lives of others, ensuring they receive the care they deserve? UnitedHealth Group is seeking a dedicated and detail-oriented Claims Analyst to join our dynamic team in Southampton, England, for an immediate start. This pivotal role involves the meticulous processing and adjudication of healthcare claims, ensuring accuracy, compliance, and timely resolution. As a Claims Analyst, you will be at the forefront of our operations, playing a critical part in our commitment to excellence in member service and operational efficiency. Your daily work will involve reviewing claim submissions, verifying policy coverage, identifying discrepancies, and applying appropriate benefit guidelines. You will navigate complex medical terminology and insurance policies, utilizing your analytical skills to ensure fair and accurate claim payments.
This position is ideal for an individual with a keen eye for detail, strong analytical capabilities, and a passion for problem-solving. You will be responsible for maintaining high levels of productivity and quality, contributing directly to our members’ satisfaction and our company’s reputation. We are looking for someone who can quickly adapt to new information, interpret complex data, and communicate effectively with various stakeholders. You’ll work within a supportive team environment, where continuous learning and professional development are encouraged. If you are eager to leverage your analytical prowess in a role that offers immediate responsibility and significant growth potential within a leading global healthcare organization, we encourage you to apply. This is an exceptional opportunity to jumpstart your career in a sector that truly makes a difference.
Key Responsibilities
- Review, evaluate, and process healthcare claims efficiently and accurately, adhering to established policies and procedures.
- Verify member eligibility, policy coverage, and medical necessity to ensure appropriate claim adjudication.
- Identify and resolve complex claim issues, discrepancies, and payment errors through thorough research and analysis.
- Collaborate with internal departments, providers, and members to gather necessary information and facilitate claim resolution.
- Maintain strict confidentiality and comply with all regulatory requirements (e.g., GDPR, HIPAA) and company standards.
- Document all claim activities, decisions, and communications clearly and concisely within the claims processing system.
- Contribute to continuous process improvement initiatives to enhance efficiency and accuracy in claims operations.
- Provide exceptional customer service by addressing inquiries related to claim status, benefits, and payment.
- Meet or exceed productivity and quality standards on a consistent basis.
Required Skills
- Strong analytical and problem-solving abilities.
- Excellent attention to detail and accuracy.
- Proficiency in using computer systems and claims processing software.
- Solid written and verbal communication skills.
- Ability to work effectively both independently and as part of a team.
- Demonstrated ability to manage multiple tasks and prioritize work in a fast-paced environment.
Preferred Qualifications
- Bachelor's degree in a related field (e.g., Business, Healthcare Administration, Finance).
- Previous experience (1+ years) in claims processing, healthcare administration, or a similar analytical role.
- Familiarity with medical terminology, ICD-10, CPT coding, and healthcare insurance principles.
- Experience with Optum/UnitedHealth Group systems or other large-scale claims platforms.
Perks & Benefits
- Competitive salary and performance-based bonuses.
- Comprehensive health, dental, and vision insurance.
- Generous paid time off and holiday schedule.
- Company-sponsored pension scheme.
- Opportunities for professional development and career advancement.
- Access to wellness programs and employee assistance initiatives.
- Supportive and collaborative work environment.
- Life assurance and critical illness cover.
How to Apply
Ready to make an immediate impact within a global healthcare leader? Click the application link below to submit your resume and cover letter. We look forward to reviewing your application and exploring how your skills can contribute to our mission!