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Appeals Representative Associate - Wausau, WI

UnitedHealth Group


Location:
Wausau, WI
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1779801
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Job Details


Appeals Representative Associate - Wausau, WI(Job Number:728044)
Description

Position Description:

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.

Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analyzes and identifies trends for all appeals and grievances. May research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians / providers.

Primary Responsibilities:


  • Research and resolve written complaints and complex or multi-issue provider complaints submitted by consumers and physicians / providers
  • Communicate with appropriate parties regarding appeals and grievance issues, implications and decisions
  • Analyze and identify trends for appeals and grievances
  • Apply knowledge / skills to basic, repeated activities
  • Respond to standard requests and solve routine problems by following established procedures
  • Work with others as part of a team and have work reviewed by others
  • Limited work experience
  • Works on simple tasks using established procedures
  • Depends on others for guidance
  • Work is typically reviewed by others

Job Claims Appeals
Primary Location US-WI-Wausau
Other Location 
Organization E&I UMR
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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