Grievance Coordinator Case Setup - US Telecommute

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.SMThe Appeals Representative Associate is responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Primary Responsibilities:Research and resolve written complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers.Communicate with appropriate parties regarding appeals and grievance issues, implications and decisions.Analyze and identify trends for appeals and grievances.Apply knowledge/skills to basic, repeated activities.Respond to standard requests and solve routine problems by following established procedures.Work with others as part of a team and have work reviewed by others.Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances.Communicates 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

Requirements:
 

High School Diploma or GED
1+ year of Customer Service Experience in a call center environment analyzing and solving customer problems OR 1+ year of experience in a Corporate environment
Must be able to create and modify documents within Word
Must be able to create and modify spreadsheets within MS Excel.
You will be required to work an 8 hour shift - starting between 6am - 11am EST.  You will be allowed to pick your own schedule but must keep it for 3 months at a time.  10 hours of overtime per week per business need will be required and you will need to be available to work rotating Saturdays and Sundays and Holidays.
Assets:

Experience with Healthcare/Medicare Terminology
Managed Care and previous Appeals/Grievances experience
Take the next step, online at: www.yourlifesbestwork.comCareers 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.SM
Diversity 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.