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Manager Claims - Las Vegas, NV

UnitedHealth Group

Las Vegas, NV
Job Code:
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Job Details

Manager Claims - Las Vegas, NV(Job Number:729062)

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.SM

The Claims Operations Manager
is responsible for management and administration of multiple functions, or management of general business operations within Claims Department of OptumCare Medical Claims Group. This work group may consist of the Manager Role, 2 - 3 Supervisors who report to Manager, and 15 - 20 Claims Representatives reporting to each Supervisor.

Primary Responsibilities:
  • Oversee daily operations of multiple levels of staff and multiple functions across one or more business units.
  • Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non - financial results (budgets and actuals).
  • Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
  • Authorize the appropriate payment or refers claims to investigators for further review.
  • Position is responsible for providing daily expertise / general claims support to team in reviewing, researching, investigating, negotiating, processing and adjusting claims supporting the Sierra Facets claims platform for Medicare Members.
  • Lead project management and implementation initiatives.

Job Claim Operations
Primary Location US-NV-Las Vegas
Other Location 
Organization Optum Ops-Claims
Schedule Full-time
Number of Openings 1
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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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