Supervisor Claims - Franklin,TN

Position 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.

Primary Responsibilities:

• Provide expertise and/or general claims support to teams in reviewing, researching, negotiating, processing and adjusting claims
• 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
• Consistently meet established productivity, schedule adherence, and quality standards
• Respond to claims appeals 
• Coordinates, supervises and is accountable for the daily/weekly/monthly activities of a team members 
• Sets priorities for the team to ensure task completion and performance goals are met, such as Quality, Adherence, Service Level 
• Coordinates work activities with other supervisors, managers, departments, etc 
• Identifies and resolves operational problems using defined processes, expertise and judgment 
• Provides coaching and feedback to team members, including formal corrective action 
• Conducts annual performance reviews for team members 
• Provides expertise and customer service support to members, customers, and/or providers

Requirements:

• High school diploma or GED
• 2+ years of previous team lead, supervisory or managerial experience leading a team of 10 or more
• Intermediate level of proficiency with Microsoft Word, Excel and Powerpoint
• 2+ years of experience in the development of staff/team
• 2+ years of proven ability in providing customer service to internal and or external customers
• Experience working with Medicaid claims  

Assets:

• Bachelors degree preferred
• Claim processing experience within a healthcare office setting

Physical Requirements and Work Environment:

• Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse
• Office environment

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.

Diversity creates a healthier atmosphere: 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.