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
The Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances.
Responsibilities:
- Research and resolve written complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers.
- Communicate with appropriate parties regarding appeals and grievance issues, implications and decisions.
- Analyze and identify trends for appeals and grievances.
- Respond to standard requests and solve routine problems by following established procedures.
- Work with others as part of a team and have work reviewed by others.
Qualifications:
Requirements:
- High School Diploma or GED
- 1+ year of Customer Service Experience in a call center environment analyzing and solving customer problems OR 1+ year of experience in a Corporate environment
- Beginner level of experience with MS Word and Excel.
- Ability to work overtime as needed
Assets:
- Experience with Healthcare/Medicare Terminology
- Managed Care and previous Appeals/Grievances experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
Careers with UnitedHealthcare. *Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do *your life's best work. **SM
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.