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)

Positions in this function are responsible for supervising expertise and general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work as required.

Primary Responsibilities:

• 
  Coordinate and supervise daily/weekly/monthly activities of a team members including setting priorities for the team to ensure task completion and performance goals are met
• 
  Respond to claims appeals
• 
  Identify and resolve operational problems using defined processes, expertise and judgment
• 
  Provide coaching, feedback and annual performance reviews as well as formal corrective action
• 
  Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
• 
  Manage inventory and performance to business metrics
• 
  Submit P&P update requests
• 
  Provide expertise or general claims support to team in reviewing, researching, investigating, negotiating, processing and adjusting claims
• 
  Identify and resolve operational problems using defined processes, expertise and judgment
• 
  Conduct analysis and identify trends and provide reports as necessary
• 
  Support team employee engagement and continually working to meet and/or improve vital signs results
• 
  Work / Lead special projects as assigned
• 
  Back-up for other supervisors or manager as needed
• 
  Identify and resolve claims processing errors/issues and trends as needed
• 
  Communicate and collaborate with internal and external business partners
• 
  Document and communicate status of claims to stakeholders as needed
• 
  Achieve applicable performance metrics (productivity, quality, TAT, utilization)

*** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 
  Associates Degree or equivalent credits approved
• 
  2+ years of experience working in a leadership role (supervision)
• 
  1+ years of experience working in Healthcare Insurance Industry
• 
  Proficient in MS Office with strong computer skills (e.g. multiple systems experience, keyboarding skills, Microsoft word, Power Point)
• 
  Proficient in verbal and written English skills

Preferred Qualifications:

• 
  Experience analyzing and identifying trends
• 
  Inventory management experience
• 
  Experience working with a Claims management system
• 
  Ability to interpret electronic data and apply to health care claim processing
• 
  Ability to drive performance management

Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.

At UnitedHealth Group, 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. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity 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.