Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Primary Responsibilities:Provide expertise and/or general claims support to teams in reviewing, researching, negotiating, processing and adjusting claimsAuthorize appropriate payment or refer claims to investigators for further reviewAnalyze and identify trends and provides reports as necessaryConsistently meet established productivity, schedule adherence, and quality standardsRespond to claims appeals Supervise, monitor, track and direct day to day operations to staffConsistently meet established productivity, schedule adherence, and quality standardsRespond to claims appeals In State required for TN
Required Qualifications:5 plus years of experience analyzing and solving customer problems in an office setting environment An education level of at least an Undergraduate Degree or equivalent work experienceModerate Proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applicationsAbility to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SMDiversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration 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 are required to pass a drug test before beginning employment. Job Keywords: customer service representative, customer service, CSR, UnitedHealth Group, call center, UnitedHealthcare, health care, office, phone support, training class, customer service advocate, customer service rep, Manager, Management, Supervisor, Brentwood, TN, Tennessee
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.