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Senior Appeals Representative - Columbus, OH or Westerville, OH

UnitedHealth Group


Location:
Columbus, OH
Date:
04/28/2017
Job Code:
1744103
Apply on the Company Site
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Job Details


Senior Appeals Representative - Columbus, OH or Westerville, OH(Job Number:711664)
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.

Primary Responsibilities:
  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances
  • Analyze and identify trends and provides reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • 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
  • Works independently
  • May act as a resource for others
  • May coordinate others activities

Job Claims Appeals
Primary Location US-OH-Columbus
Other Location US-OH-Westerville
Organization M&R Ops - M&R Appeals
Schedule Full-time
Number of Openings 4
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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