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Manager Claims - International Falls, MN
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | International Falls, MN International Falls, Minnesota |
About this job
Position Description :
The Claims Operations Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department. Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Primary Responsibilities:
The Claims Operations Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department. Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Primary Responsibilities:
- Oversee daily operations of multiple levels of staff and multiple functions across one or more business units.
- Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actual's).
- Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
- Authorize the appropriate payment or refers claims to investigators for further review.
- Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
- Lead project management and implementation initiatives.
- Manages and is accountable for professional employees and/or supervisors.
- Impact of work is most often at the local level.
Requirements
Requirements:
Take the next step, online at: www.yourlifesbestwork.com
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumHealth 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 health care 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.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
- High school diploma or GED
- 3+ years supervisory/managerial experience in claims adjudication or customer service
- 2+ years managing relationships with clients and/or vendors
- Intermediate skills with Excel and PowerPoint required
- Undergraduates degree or higher preferred
- Understanding of claims processing systems
- 2+ years managing budgets, process improvement and quality assurance preferred
- Senior Level Supervisory/Managerial experience in medical claims preferred
Take the next step, online at: www.yourlifesbestwork.com
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
OptumHealth 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 health care 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.
At OptumHealth, you will perform within an innovative culture that's focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact that's greater than you've ever imagined.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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