Telecommute Claims Representative

last updated May 29, 2026 19:27 UTC

Optum

HQ: https://remoteok.com/l/121005

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You’ll appreciate the flexibility to telecommute* from anywhere in the U.S. as you take on challenging work. It’s that time, isn’t it? You’re ready for the next step and the chance to build on your skills—and there’s never been a better moment to join the team at UnitedHealth Group. We’ve developed one of the world’s most effective and respected claims processing teams, and that’s where you fit in. You’ll help maintain our reputation for service, accuracy, and delivering a positive claims experience. In return, you’ll receive the training, support, and growth opportunities you’d expect from a Fortune 10 company leader.

  • All telecommuters must follow UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities

  • Provide expertise and general claims support by reviewing, researching, investigating, negotiating, processing, and adjusting claims
  • Analyze and identify trends and provide reports as needed
  • Meet established productivity, schedule, and quality standards consistently

This role is demanding and requires the ability to thoroughly review, analyze, and research complex healthcare claims to identify discrepancies, verify pricing, confirm prior authorizations, and process claims for payment. You must be comfortable using various computer systems to find key information. Strong attention to detail is essential to ensure accuracy and support timely processing of members’ claims.

You’ll be recognized and rewarded for your performance in an environment that will challenge you, provide clear guidance on how to succeed in your role, and offer development for other positions you may want to pursue.

Required Qualifications

  • High School Diploma / GED (or higher) OR equivalent years of work experience
  • 1+ year of experience in a related setting (e.g., office, administrative, clerical, customer service, etc.), using phones and computers as primary work tools
  • Proficiency with computer systems and Windows PC applications, including the ability to learn new and complex software

Preferred Qualifications

  • 1+ year of experience processing medical, dental, prescription, or mental health claims

Telecommuting Requirements

  • Must have a dedicated work area separate from other living spaces that ensures information privacy
  • Ability to keep all company-sensitive documents secure (if applicable)
  • Must live where you can access a UnitedHealth Group-approved high-speed internet connection or already have an existing high-speed internet service

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We understand that your background and experience may be different—and we value that. UnitedHealth Group recognizes the skills, experience, and dedication required in military service. Many of the values you bring—Integrity, Compassion, Relationships, Innovation, and Performance—reflect what matters at UnitedHealth Group. Whether you’re transitioning from active duty to a civilian career, or you’re an experienced veteran or spouse, we want to support your career journey. Learn more at https://www.unitedhealthgroup.com/careers/en/work/military-veteran.html

Learn how Teresa, a Senior Quality Analyst, supports military veterans and helps ensure they receive the best possible benefits and experience. https://www.youtube.com/supported_browsers?next_url=https%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DwnoopBkWS6U

Careers with Optum Here’s the goal: we built an entire organization around one big objective—to help the health system work better for everyone. That means how we use the world’s vast amount of health-related information, guide health and lifestyle decisions, or manage pharmacy benefits for millions. Our first aim is to move beyond the status quo and discover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together talented people and advanced ideas about where healthcare needs to go to reach its full potential. For you, that means working with high-performing teams on sophisticated challenges that matter. Optum offers incredible ideas within an incredible company—and a unique opportunity to do your life’s best work.sm


Colorado, Connecticut, or Nevada Residents Only: The salary range for Colorado residents is $16.00–$26.88. For Connecticut/Nevada residents, it is $16.83–$29.66. Pay depends on factors such as education, work experience, certifications, and more. In addition to your salary, UnitedHealth Group offers benefits including a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and a 401k contribution (benefits are subject to eligibility requirements). Wherever and whenever you start your career with UnitedHealth Group, you’ll have access to a wide range of benefits and incentives.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates must pass a drug test before beginning employment.

Keywords: #RPO, #YELLOW

$60,000 — $105,000/year

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