16 days old

Claims Adjuster - Green Bay, WI

Green Bay, WI 54301
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  • Job Code
    863621

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Are you looking for a chance to get your foot in the door with a great company? You've found it here. Already one of the world's leading health care companies, UnitedHealthcare is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you're not just working. You're making great things happen for the people who rely on us for health care across the United States. You're part of an elite team that's equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day. This is your chance to do your life's best work.SM

 

As a Claims Representative, you'll play a critical role in creating a quality experience that impacts the financial well - being of our members. You will be the expert problem solver as you work to quickly identify, analyze and resolve issues in a fast paced environment. This is your chance to take your career to the next level as you support teams by reviewing, investigating, negotiating, and processing claims. Bring your listening skills, emotional strength and attention to detail as you work to ensure every claim has a fair and thorough review

 

This position is full - time (40 hours / week) Monday - Friday. Employees are required to have flexibility to work any of our 8 hour shift schedules during our normal business hours of 6:30am - 5pm. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 3100 AMS Blvd, Green Bay, WI 54313.

 

Primary Responsibilities:

  • Review and research incoming claims by navigating multiple computer systems and platforms and accurately capturing the data / information necessary for processing (e.g. verify pricing, prior authorizations, applicable benefits)
  • Ensure that the proper benefits are applied to each claim by using the appropriate processes and procedures (e.g. claims processing policies and procedures, grievance procedures, benefit plan documents.)
  • Complete on a daily basis all data entry required to document and communicate the status of claims as needed adhering to all reporting requirements
  • Communicate and collaborate with members and providers to resolve claims errors/issues, using clear, simple language to ensure understanding
  • Learn and leverages new systems and training resources to help apply claims processes / procedures appropriately (e.g. on - line training classes, coaches / mentors)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

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Posted: 2020-02-12 Expires: 2020-03-14

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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Claims Adjuster - Green Bay, WI

UnitedHealth Group
Green Bay, WI 54301

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