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| Medicare Appeals Representative - Trumbull, CT |
Job Location:
Metro Area: |
Bridgeport, CT
NY - New York City
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Category: |
Customer Service
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Contact Info |
Company Name: UnitedHealth Group
Website:
Click to Visit
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Apply: Submit Resume Now
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Job Description:
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Ovations is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
Imagine joining a group of professionals and clinicians who are working to improve health care for people over 50. Consider the influence you can have on the quality of care for millions of people. Now, enhance that success with enthusiasm you can really feel.
That's how it is at Ovations. Everyday, we're collaborating to improve the health and well being of the fastest growing segment of our nation's population. And we're doing it with an intense amount of dedication.
Position Description:
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.
Here, you will discover a culture that grows through challenge. That evolves by being flexible. That succeeds by staying true to our mission to make health care work effectively and efficiently for seniors. Put your best to work for us, and discover extraordinary opportunities for growth.
 Required Skills: Qualifications:
- 1-2 years experience in a health insurance environment required
- 1-2 years experience with MS Office (Word and Excel) and PC knowledge required
- 2-3 years with data entry required
- 1-2 years experience with telephonic and correspondence customer service strongly preferred
- 1+ year experience of Medicare laws and regulations requirement
- Familiarity with Part D Benefit plans is preferred
- Familiarity with Part C is preferred
- Responds to standard requests
- Professional business skills are essential, a writing sample will be required at interview
- Solves routine problems by following established procedures
- Others prioritize and set deadlines for employee
- High school education or equivalent experience
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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