1+ months

Senior Claims Examiner - San Antonio, TX

San Antonio, TX 78205
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  • Job Code
    865890

Making claims a positive experience for our members can drive your sense of impact and purpose. Join us as we improve the lives of millions. Learn more about how you can start doing your life's best work.(sm)

This is a challenging role that takes an ability to thoroughly review, analyze, and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations, and process them for payment. You'll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will ensure timely processing of the member's claim.
 
Primary Responsibilities:
  • Assist with escalated claims to resolve complex issues for team members and internal customers
  • Support implementation of updates to the current procedures and assist with new system training / mentoring
  • Review guidelines as well as benefit plan documents and certificates to ensure proper benefits have been applied to each claim
  • Analyze and identify trends and provide reports as necessary
 
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: 2020-02-21 Expires: 2020-04-13

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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Senior Claims Examiner - San Antonio, TX

UnitedHealth Group
San Antonio, TX 78205

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