Issue Resolutions Claims Specialist – Adjust and Process Claims – UnitedHealth more… ▼
| Location: | Phoenix, AZ |
| Company: | UnitedHealth Group |
| First posted: | March 14, 2015 |
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 purpose of this position is to delight our customers by resolving their issues through fast and accurate problem identification, accurate resolution of closed and denied claims, adjustments and escalated claim issues. Another purpose of this position is to support the mission, vision and values of the organization and department through quality, service, innovation, integrity, teamwork and dignity/respect. The employee specifically contributes to organizational/ departmental success.
Primary Responsibilities:
Providing Excellent Claims Issue Resolution
Process identification and process improvement
Accurately identify and assess claims adjustments/issues
Investigate and respond to written and verbal inquiries received from external sources
Research and respond to inquiries or requests from management or internal sources
Maintain proficiency in all technical system applications
Accountable for claim reconsiderations and to communicate resolution to appropriate parties
Investigate issues and document steps taken to achieve resolution
Demonstrate a cooperative, positive attitude in the workplace
Demonstrate knowledge of managed healthcare and claims
Handle special projects as required
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