1+ months

Claims Representative- San Juan, PR

Blanding, UT 84511
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  • Job Code
    890750

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)

Positions in this function are responsible for providing general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. 

Primary Responsibilities: 

  • Authorizes the appropriate payment or refers claims to investigators for further review
  • Conducts data entry and re-work as required
  • Responsible for handling issues within turnaround standards
  • Process rework issues
  • Ability to handle most claim types / cases / issues that are submitted to the team you are supporting
  • Ability handle escalations as needed
  • Ability to work multiple functions and applications in a day as needed
  • Communicate any changes in trending of inventory, volumes, and quality remediation
  • Complete required individual development courses / training
  • Meet and maintain minimum quality and productivity standards 
*** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***
 
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: 2020-09-08 Expires: 2020-11-08

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 Representative- San Juan, PR

UnitedHealth Group
Blanding, UT 84511

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