Claims Supervisor - Bothell, WA

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.

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:

• 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 activities of business support, technical or production team or unit.
• Impact of work is most often at the team level.

Requirements:

• High School Diploma/ GED
  
• Working Hours 7:00am - 7:00pm Monday - Friday (occasional weekends for inventory purposes)
• 5+ years of experience analyzing and solving customer problems in an office setting environment
• Intermediate proficiency with MS Word & Excel
• Intermediate proficiency in MS Outlook
• 2+ years of experience in a medical office setting (medical terminology)
• 2+ years of management experience (coaching, performance evaluations)
• Basic proficiency with SharePoint

Assets:

• Previous call center experience
• Associate's degree or higher

Physical Requirements and Work Environment:

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

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.