Claims Quality Analyst - Cypress, CA

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.Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Claims Quality Analysts are responsible for all aspects of quality assurance within the Claims job family. Conduct audits and provide feedback to reduce errors and improve processes and performance.Primary Responsibilities:


Provide claims support by reviewing, researching, investigating, auditing claims
Provide feedback to team members on audit results
Analyze and identify trends and provide feedback and reports to reduce errors and improve claims processes and performance
Responsible for all aspects of quality assurance
Analyze information and utilize to build recommendations to reduce errors and improve process performance
Create, maintain and track reports in relation to performance
Serve as subject matter resource to team members, supervisors and management staff
Positions in this function are responsible for all aspects of quality assurance within the Claims job family. Conducts audits and provides feedback to reduce errors and improve processes and performance.
Basic, structured, standard approach to work.

Required Qualifications:

High School Diploma or GED
1+ years of experience analyzing and solving customer's problems in an office setting environment
2+ years of experience with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications.
Intermediate level of MS Excel, Word, and PowerPoint
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
Experience with Medicare Part D
Preferred Requirements:

Bachelor's Degree
Experience in claims processing or quality
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.