Arbitration Claims Specialist (Remote)

About the role

UnitedHealthcare's ClearHealth Strategies IDR team is looking for an Arbitration Claims Specialist. The role supports a quasi-legal dispute review process focused on eligibility analysis and preparing arbitration briefs so that compliance with the federal No Surprises Act and state surprise billing laws is ensured. The position is full-time (40 hours per week, Monday to Friday) and national remote, with flexibility to work any 8-hour shift schedule between 8:00 am and 5:00 pm local time; occasional overtime may be needed.

Key responsibilities

• Prepare arbitration briefs
• Respond to inquiries from CMS, arbiters, providers, clients and ClearHealth management
• Analyze EOBs and claim information, identify issues and resolve them independently
• Triage complex issues to management
• Manage multiple priorities in a fast-paced, high-volume environment with quick turnaround

Required profile

• High school diploma / GED or equivalent work experience
• Age 18 or older
• 1+ year of experience preparing written summaries, case reviews, reports or briefs in a regulated, compliance-driven or legal-adjacent environment
• 1+ year of experience reviewing claims data, Explanation of Benefits and supporting documentation to identify issues
• Experience ensuring compliance with HIPAA privacy and security regulations
• Ability to work full-time 8:00 am to 5:00 pm, including occasional overtime

Preferred qualifications

• 1+ year of experience with the federal No Surprises Act and/or state surprise billing disputes
• Experience supporting or working within personal injury litigation
• Knowledge of the medical claims process

What we offer

• Salary of $24-$43 per hour for full-time employment, depending on factors such as local market, education and experience
• Comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (subject to eligibility)

Remote workers must keep company documents secure, have a dedicated, private workspace and access to a UnitedHealth Group-approved high-speed internet connection. Candidates must pass a drug test before starting employment.