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Senior Claims Representative - Irvine, CA

UnitedHealth Group


Location:
Irvine, CA
Date:
03/21/2017
Job Code:
1707289
Apply on the Company Site
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Job Details


Senior Claims Representative - Irvine, CA(Job Number:695695)
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.(sm)

Solid leadership skills with good judgment and objectively. Flexibility in completing assignments in order to meet deliverables. Ability to research and analyze issues with confidence in identifying a resolution and initiative to take action. Ability to handle sensitive material confidentially. Be able to engage with professional interaction in a collaborative manner with both internal and external customers.

Positions in this function are responsible for providing expertise or 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; analyzes and identifies trends and provides reports as necessary.

Primary Responsibilities:
  • Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
  • Authorize appropriate payment or refer claims to investigators for further review
  • Analyze and identify trends and provides reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Provide excellent customer service
  • Extensive work experience, possibly in multiple functions.
  • Work does not usually require established procedures.
  • Works independently.
  • Mentors others.
  • Acts as a resource for others.
  • Coordinates others' activities.
Keywords: medical claims, healthcare claims, claims processing, claims processor; UnitedHealth Group, UnitedHealth care

Job Claim Operations
Primary Location US-CA-Irvine
Other Location 
Organization OptumRx Claims Operations
Schedule Full-time
Number of Openings 2
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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