1+ months

Claims Manager - Remote within Salt Lake City, UT, Duluth, MN or Cypress, CA - 916650

Duluth, MN 55802 Work Remotely
  • Job Code
    916650

Energize your career with one of Healthcares fastest growing companies.

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You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, its a dream that definitely can come true. Already one of the worlds leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

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This opportunity is with one of our most exciting business areas: Optum a growing part of our family of companies that make UnitedHealth Group a Fortune 10 leader.

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Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their healthcare needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.

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TheClaims Manageris responsible for management and administration of multiple functions, or management of general business operations within Claims Department.

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We offer 1 month virtual training from your home.The hours during training will be 7:00am to 3:30pm PST, Monday - Friday.

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If you are located in the Salt Lake City, UT, Duluth, MN or Cypress, CA area, you will have the flexibility to telecommute* as you take on some tough challenges.

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Training will be conducted virtually from your home.

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Primary Responsibilities:

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  • Oversee daily operations of multiple levels of staff and multiple functions across one or more business units
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  • Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actuals)
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  • Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims
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  • Authorize the appropriate payment or refers claims to investigators for further review
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  • Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary
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  • Lead project management and implementation initiatives
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Youll 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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Required Qualifications:

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    High school diploma / GED (or higher)

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    3+ years supervisory/managerial experience in claims adjudication or customer service

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    2+ years managing relationships with clients and/or vendors

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    2+ years managing budgets, process improvement and quality assurance

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    Intermediate Microsoft Office skills: Word(creating and editing documents), Excel(data entry, reporting, pivot tables, Powerpoint (creating presentations), Outlook(managing email)

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  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders
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Preferred Qualifications:

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  • Bachelor's degree(or higher)
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  • Understanding of claims processing systems
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  • 5+ years of healthcare claims leadership experience
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  • 2+ years of experience developing presentations to include charting
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  • Senior Level Supervisory/Managerial experience in medical claims
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UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. At this time, 90% of our non-clinical workforce transitioned to a work at home (remote) status. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

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You can learn more about all we are doing to fight COVID-19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

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Careers with Optum.Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health - related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to doyour life's best work.
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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.

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UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Keywords: claims, data entry, coding, medical coding, customer service representative, customer service, CSR, UnitedHealth Group, Optum, OptumRx, call center, UnitedHealthcare, health care, healthcare, office, phone support, training class, advocate,work at home, work from home, WAH, WFH, remote, telecommute, hiring immediately, #RPO

Categories

Posted: 2021-03-05 Expires: 2021-04-30

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 Manager - Remote within Salt Lake City, UT, Duluth, MN or Cypress, CA - 916650

UnitedHealth Group
Duluth, MN 55802

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