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Supervisor Claims - San Antonio, TX

UnitedHealth Group

San Antonio, TX
Job Code:
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Job Details

Supervisor Claims - San Antonio, TX(Job Number:723161)

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 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:

  • Identifies and resolves operational problems using defined processes, expertise and judgment
  • Analyze and identify trends and provides reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Supervise, monitor, track and direct day to day operations of staff
  • Analyze and identify trends and provides reports as necessary
  • Develops plans to meet short-term and long-term objectives.
  • Demonstrates and Apply Knowledge of Internal Systems, Policies and Procedures
  • Supervise, monitor, track and direct day to day operations of staff(Supervisor to staff ration up to 1:30) and hold staff accountable to individual and team metrics
  • Identifies solutions to non-standard requests and problems
  • Solves moderately complex problems and/or conducts moderately complex analyses
  • Works with minimal guidance; seeks guidance on only the most complex tasks
  • Provides explanations and information to all levels of leadership on difficult issues
  • Supervises, Coaches, provides feedback, to direct reports
  • 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
  • Maintain a positive work environment that supports a quality driven team and identify any issues that may inhibit performance
  • Provide regular performance reports to the Business Manager
  • Provide formal and informal performance feedback to individuals and the team; conduct annual performance reviews

Job Claim Operations
Primary Location US-TX-San Antonio
Other Location 
Organization E&I Ops - Core Claim & Appeals
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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