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Appeals Supervisor - Santa Ana, CA

UnitedHealth Group


Location:
Santa Ana, CA
Date:
05/19/2017
Job Code:
1744486
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Job Details


Appeals Supervisor - Santa Ana, CA(Job Number:712929)
Description

Position Description:

You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to 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. Employees in jobs labeled with SCA must support a government Service Contract Act (SCA) agreement.

Primary Responsibilities:

  • Supervises a team of 15-20 Resolution Analysts and Triage Associates
  • Coaching and implementing correction action plan when needed
  • Conducting reviews, huddles, and one-on-one meetings
  • Ensure team is compliant in their work
  • Working with workforce and inventory management
  • Coordinates, supervises and is accountable for the daily activities of business support, technical or production team or unit
  • Impact of work is most often at the team level
  • Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions
  • Analyzes and identifies trends for all appeals and grievances

Job Claims Appeals
Primary Location US-CA-Santa Ana
Other Location 
Organization Specialty Ops - Claim
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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