Complex Claim Research Specialist
4 days ago
Job Summary
">We're seeking an experienced Claims Representative Senior to join our team at UnitedHealth Group. In this role, you'll be responsible for conducting complex research, analysis, and evaluations of claims data to resolve disputes and discrepancies.
">Responsibilities
">- ">
- Conduct thorough research and analysis of claims data to identify discrepancies and disputes.">
- Develop and implement effective solutions to resolve claims issues.">
- Communicate regularly with internal teams and external stakeholders to gather information and provide updates.">
Requirements
">To be successful in this role, you'll need:
">- ">
- A bachelor's degree in a relevant field, such as business, healthcare, or a related field.">
- At least 5 years of experience in claims processing or a related field.">
- Strong analytical and problem-solving skills, with the ability to think critically and develop creative solutions.">
- Excellent communication and interpersonal skills, with the ability to build strong relationships with internal and external stakeholders.">
Working Conditions
">This is a remote-based role, with occasional travel required to meetings and training sessions.
">Other Benefits
">We offer a comprehensive benefits package, including medical, dental, and vision coverage, as well as 401(k) matching and paid time off.
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