Insurance Claim Specialist

7 days ago


Redlands, California, United States Optum Full time

Company Overview

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone – of every race, gender, sexuality, age, location, and income – deserves the opportunity to live their healthiest life.

Salary and Benefits

The estimated hourly range for this position is $16.54 - $32.55 per hour, with a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution. UnitedHealth Group complies with all minimum wage laws as applicable.

Job Description

We are seeking an Insurance Claim Specialist to join our team. As an Insurance Claim Specialist, you will be responsible for investigating and resolving outstanding insurance claims, preparing documentation for appeals, and ensuring accurate payment processing. Your thorough knowledge of insurance carrier procedures and processes will enable you to effectively communicate with carriers and patients, while your analytical skills will help you identify and resolve issues efficiently.

Required Skills and Qualifications

To be successful in this role, you must have:

  • A High School Diploma / GED or equivalent experience
  • Be at least 18 years old
  • 1+ years of experience in medical insurance billing
  • Ability to work any 8-hour shift schedule during normal business hours

Preferred Qualifications

Prior experience in medical billing and coding systems, with excellent verbal and written communication skills, and ability to work quickly and accurately in a fast-paced environment. Strong analytical and problem-solving skills, with the ability to prioritize tasks and manage multiple projects simultaneously.

Work Environment

This is a full-time position, requiring flexibility to work any 8-hour shift schedule during normal business hours. Occasional overtime may be necessary. Our office is located at 10425 Enterprise Dr, Redlands, CA, with paid training provided for new hires.

About Us

UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, committed to diversity, equity, and inclusion. We strive to create a workplace that values and respects all individuals, promoting a healthy work-life balance and opportunities for growth and development. Join us to start making a difference in the lives of others.



  • Redlands, California, United States Optum Full time

    About the JobThe Billing Representative will be responsible for contacting insurance carriers and patients regarding outstanding insurance claims to obtain proper payment. This includes preparing proper documentation for appeals to insurance carriers, ensuring all accounts are set-up correctly in the computer, and having thorough knowledge of insurance...


  • Redlands, California, United States Optum Full time

    We are seeking a detail-oriented Medical Claims Examiner to join our team at Optum, a global organization that delivers care and technology to help millions of people live healthier lives.As a Medical Claims Examiner, you will play a critical role in ensuring the accurate processing of medical claims, working closely with insurance carriers and patients to...


  • Redlands, California, United States Arroyo Insurance Services Full time

    Job OverviewArroyo Insurance Services is a well-established independent commercial and personal lines insurance agency serving small to medium-sized businesses, non-profit organizations, and individuals. With nearly 70 years of continuous family ownership, we pride ourselves on offering comprehensive risk management solutions while fostering a team...


  • Redlands, California, United States West Coast Dermatology Billers Full time

    About the RoleWe are seeking a highly skilled Dermatology Billing Specialist to join our team at West Coast Dermatology Billers. As a key member of our team, you will be responsible for managing medical billing, accounts receivable, and ensuring timely payment from insurance companies.Key Responsibilities:Review and process outstanding claims, identifying...


  • Redlands, California, United States Esri Full time

    Company OverviewAt Esri, we empower users to make a positive impact in the world by providing innovative geospatial technology solutions. Our company is committed to creating a diverse and inclusive work environment that fosters collaboration, creativity, and growth.


  • Redlands, California, United States TEKsystems Full time

    OverviewTEKsystems is a leading provider of technology and engineering talent, delivering solutions to help businesses solve complex challenges. As a Senior Fire Alarm Installation Specialist with our team, you will play a critical role in the successful installation of fire alarm systems for large commercial clients. Estimated Salary: $60,000 - $80,000 per...

  • Data Entry Specialist

    3 weeks ago


    Redlands, California, United States PSG Global Solutions Careers Full time

    Are you looking for a rewarding career in data entry? PSG Global Solutions Careers has an exciting opportunity for a Data Entry Specialist in the IT industry.About the RoleWe are seeking a highly skilled and detail-oriented individual to join our team. As a Data Entry Specialist, you will be responsible for accurately entering data into our database from...


  • Redlands, California, United States Climet Instruments Full time

    Climet Instruments Company is a leading global manufacturer of airborne particle counters and microbial air samplers. We are seeking an Electronics Service Specialist to join our team in Redlands, CA.**Job Summary:**We are looking for a skilled Electronics Service Specialist to provide calibration and repair services for our customers. The successful...


  • Redlands, California, United States Sage Oak Charter Schools Full time

    About the JobWe are seeking a dedicated Special Education Support Specialist to join our team at Sage Oak Charter Schools. This is an excellent opportunity for individuals who are passionate about providing support to students with diverse needs.Job SummaryThe Special Education Support Specialist will assist in providing instruction and support to students...


  • Redlands, California, United States Sleep Number Corporation Full time

    Job SummaryWe are seeking a skilled Warehouse Operations Specialist to join our team at Sleep Number Corporation.About UsSleep Number is a sleep wellness technology leader, dedicated to improving the health and wellbeing of society through higher quality sleep. Our purpose guides everything we do, from developing innovative products to creating a positive...


  • Redlands, California, United States Tom Bell Chevrolet Full time

    **Company Overview**At Tom Bell Chevrolet, we're dedicated to maintaining high standards of integrity and providing our customers with exceptional support. Our commitment to a safe and modern facility ensures a secure future for our employees.We offer a comprehensive benefits package, including medical, dental & vision insurance, 401K plan + match, paid time...


  • Redlands, California, United States Climet Instruments Full time

    About the RoleWe are seeking an experienced Electronics Technician to join our team as an Airborne Particle Counter Specialist. This role is responsible for providing calibration and repair services for airborne particle counters, as well as providing technical support to customers.Key ResponsibilitiesPerform calibration and repair services on airborne...


  • Redlands, California, United States Redlands Community Hospital Full time

    At Redlands Community Hospital, we are seeking a skilled Radiology Imaging Specialist to join our team of healthcare professionals. This is a rewarding opportunity to make a difference in the lives of our patients.About the JobThis role provides an opportunity to apply x-ray energy to assist in diagnosis or treatment, performing radiographic procedures and...


  • Redlands, California, United States Loma Linda University Health Full time

    About the RoleThe Perianesthesia Nurse Specialist plays a vital role in providing exceptional patient care and contributing to a dynamic healthcare environment at Loma Linda University Health. This position requires a dedicated and experienced nurse who can deliver high-quality care, lead by example, and foster a culture of excellence.ResponsibilitiesDeliver...

  • Re-Pipe Specialist

    2 weeks ago


    Redlands, California, United States Redlands Plumbing, Heating & AC Full time

    About the JobWe are seeking an experienced Re-Pipe Specialist to join our team at Redlands Plumbing, Heating & AC. As a key member of our plumbing crew, you will be responsible for installing residential plumbing systems, including repipes, water heater replacements, and other related projects.Key Responsibilities:Install plumbing residential systems to...


  • Redlands, California, United States Wellhart, LLC Full time

    About the RoleWe are seeking an experienced Emergency Medicine Specialist to join our team for night shift opportunities.Job SummaryThis is a contract role designed to fill gaps in care at facilities and hospitals over a specific timeframe. The ideal candidate will have experience with CT scans, MRIs, and X-rays, as well as an active medical license in...


  • Redlands, California, United States TEKsystems Full time

    At TEKsystems, we are seeking a highly skilled Commercial Alarm System Specialist to join our team. This is an excellent opportunity for experienced technicians to work with cutting-edge alarm systems, intrusion detection, CCTV, and fire systems.About the Role:We are looking for a self-starter who is customer-centric and has enough industry knowledge to...


  • Redlands, California, United States Loma Linda University Medical Center Full time

    **Job Summary:**We are seeking a skilled Licensed Vocational Nurse (LVN) to join our team as a Geriatric Nurse Care Specialist at Loma Linda University Medical Center. This role requires providing high-quality, patient-centered care to adults 55 and older with complex medical needs.**Key Responsibilities:**Assess patient needs and develop individualized...


  • Redlands, California, United States AutoZone Full time

    Job OverviewWe are seeking an experienced Warehouse Operations Specialist to join our team at AutoZone. As a key member of our operations team, you will be responsible for ensuring the smooth flow of goods and materials within our warehouses.Estimated Salary Range:$19.50 - $20.50 per hour, depending on shift differential.Key Responsibilities:Assist with...


  • Redlands, California, United States Redlands Community Hospital Full time

    At Redlands Community Hospital, we are seeking a highly skilled Mental Health Therapist to join our team as a Patient Care Specialist.We offer an attractive salary range of $60,000 - $80,000 per year, depending on experience. In addition to a competitive compensation package, we provide excellent benefits, including medical, dental, and vision insurance,...