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  • Duluth, MN

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Claims Supervisor - Duluth, MN

UnitedHealth Group • Duluth, MN

Posted 8 days ago

Job Snapshot

Full-Time
Healthcare - Health Services
General Business, Health Care

Job Description

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.

We didn't get here by accident. UnitedHealth Group is a Fortune 6 leader in health care because we are an undisputed leader in creating service quality and helping to improve the lives of millions. Now, let's get you over here and keep building on that reputation. You'll drive the action and communicate with appropriate parties regarding claims issues. In return, we'll provide you with great training, support and opportunities.

Primary Responsibilities:
  • Provide expertise and / or general claims support to teams in reviewing, researching, negotiating, processing and adjusting claims
  • Responsible for driving employee engagement through communication, development and accountability
  • Responsible for partnering with business partners to ensure success of the business and the team
  • Work with other businesses upstream and downstream to ensure exceptional member experience
  • Authorize appropriate payment or refer claims to investigators for further review
  • Analyze and identify trends and provides reports as necessary
  • Consistently meet established productivity, schedule adherence, and quality standards
  • Respond to claims appeals
  • Supervise, monitor, track and direct day to day operations to staff

Required Qualifications:
  • High school diploma / GED (or higher)
  • Must be available to work from 6 am - 5 pm Monday - Friday and be flexible to work around business needs which can include working weekends
  • 2+ years of leadership experience in a production environment
  • Intermediate level of proficiency with Microsoft Office; Microsoft Excel (inventory management & data collection), Microsoft Word (editing and creating documents), and Microsoft PowerPoint (presentations)
  • Project management experience
Preferred Qualifications:
  • Undergraduate Degree (or higher)
  • COSMOS medical claims experience
Soft Skills: 
  • Ability to multi - task (this includes ability to understand multiple products and multiple levels of benefits within each product)
UnitedHealth Group is a team of more than 260,000 people who are building career success through commitment, compassion and a desire to make a difference. Join us. Learn more about how you can start doing your life's best work.SM

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 do your life's best work.SM


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.

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


Keywords: supervisor, lead, claims, COSMOS, Medica, Optum, Duluth


Job ID: 2551_800362
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