Appeals Supervisor - Eau Claire, WI - Full-time / Part-time

Position Description:Real relationships, remarkable care,
right here. This is healthcare reimagined. We are the first to unite
relationship-driven primary care with user-friendly health insurance in one
simple plan. We are built around the needs of members, creating a dedicated
home base for health that reconnects the face-to-face care experience. Our
doctors, health coaches and support teams operate within community-based
clinics to put remarkable care within more people’s reach.  We are a community of people devoted to our
members’ health and an experience that makes you feel better just by walking
through the door. We get health care right.Purpose of Job: Provide the expertise and general support to teams in
reviewing, researching, investigating, negotiating and resolving all types of
appeals and grievances. Communicate with appropriate parties regarding appeals
and grievance issues, implications and decisions. Analyzes and identifies
trends for all appeals and grievances. May research and resolve written
Department of Insurance complaints and complex or multi-issue provider
complaints submitted by consumers and physicians/providers. Ideal candidates for the Appeal Supervisor role will:Primary Responsibilities:Ability to prioritize time sensitive workAbility to train and develop individual team membersFlexibility and demonstrate ability to change responding to the incoming workAbility to influence other business partners to adhere to Appeals ProcessSolid understanding of Excel and ability to create reports for Quality CouncilSound oral and written communication skillsExperience with presenting data/trends preferredDemonstrate ability to interact with difficult customersCommitted to fostering a high performing work environment while maintaining exceptional quality resultsLead by example, and provide support and coaching to a team of Appeal Assistants; responsible for coordinating priorities and daily activities of the work unit Ensure team of Appeal Assistants have the required training and information required to do their jobMonitor and improve performance & quality metrics across the team of Appeal Assistants Collaborate with other Supervisors to identify and improve service to our members, providers and staff• Handle escalated member calls when required

Required Qualifications:HS Diploma/GED1+ years of supervisory experience3+ years of customer service experienceThe demonstrated ability to priority work and meet time sensitive deadlinesThe ability to navigate a Windows based environment and utilize Microsoft Office in a professional settingThe ability to work at least 40 hours per week anytime within the operating hours of the siteProficient English speakerPreferred Qualifications:Associate's DegreeKnowledge of healthcare and terminologyFacets and/or MACESS system experienceBilingual fluency with English and SpanishThere are several steps in our
hiring process – it’s a thorough process because we want to ensure the
best job and culture fit for you and for us. In today’s ultra-competitive job
market, the importance of putting your best foot forward is more important than
ever. And you can start by completing all required sections of your
application. (i.e. profile, history, certifications and application/job
questions). Once you submit your resume, you’ll receive an email with next
steps. This may include a link for an  on-line pre-screening test 
that we ask you to complete as part of our selection process.  You may
also be asked to complete a digital video interview, but we will offer full
instructions and tips to help you. After you have completed all of these steps,
you can check on the status of your application at any time, but you will also
be notified via e-mail.Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.SMDiversity 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.