Claims Appeals Representative

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A job shouldn't define you. It should reflect you.

Pusham B. Painter & NGO Founder Claims Adjuster

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Meaningful work creates true job satisfaction. In this role as an Appeals Representative, we'll depend on you to communicate some of our most critical information to the appropriate people regarding appeals and grievance issues, implications and decisions. You’ll put your research skills to work to explore how claims were processed and, eventually, denied. You’ll use the Department of Insurance guidelines to determine the outcome of each appeal and communicate the results to members and/or providers. You'll combine your appeals expertise, passion for ethics and high degree of follow through to help our team deliver speedy and fair appeals.

Latest Claims Appeals Representative Jobs

Senior Appeals Representative - Cypress, CA (708350)

Full-time Cypress, CA

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Region: North America Country United States
State/Province: CA City: Cypress
Position Description
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 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....

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Appeals Representative - Cypress, CA (708348)

Full-time Cypress, CA

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Region: North America Country United States
State/Province: CA City: Cypress
Position Description
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.UnitedHealth Group is working to create the health care system of tomorrow.Already Fortune 25, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.Through our fa...

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Appeals Representative - Any US UHC Office (709090)

Full-time Dallas, TX

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Region: North America Country United States
State/Province: TX City: Dallas
Position Description
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. Primary Responsibilities: Ensure complaint has been categorized correctly Determine and confirm member eligibility and benefits Obtain additional documentation required for case review Place relevant documents into image repository Initiate outbound contact to members or providers Review case to determine ...

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Expedited Senior Claims Appeals Representative - Oldsmar, FL (703535)

Full-time Oldsmar, FL

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Region: North America Country United States
State/Province: FL City: Oldsmar
Position Description
Grow your career with an industry leader! We have training classes starting soon. Apply now! Are you the person your friends and family go to when they need advice or a listening ear?  In this fast growing healthcare industry, UnitedHealth Group is searching for those individuals who can serve as a trusted resource to our members.  You can be a part of the brightest and best team that are leading the way in improving the health and quality of life for our rapidly expanding customer base.  Compassion is at the center of your life’s best work. (SM) As an Expedited Senior Claims Appeals Represe...

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Claims Appeals Representative - Brentwood, TN (705859)

Full-time Brentwood, TN

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Region: North America Country United States
State/Province: TN City: Brentwood
Position Description
Reward yourself with a career that will thrive. Apply now for classes starting soon to reap the benefits of a career with UnitedHealth Group! You’re looking for a career where your performance will be rewarded. When you join UnitedHealthcare’s Appeals Group, you’ll be part of a team committed to constantly challenging ourselves to improve in key performance areas. Here your performance will be rewarded as success is expected, measured and rewarded with increasing opportunities, responsibilities, and performance based pay incentives. You’ll be empowered to serve members in key markets ...

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Claims Appeals Representative - Shavano Park, TX (705862)

Full-time Shavano, TX

Quick Look
Region: North America Country United States
State/Province: TX City: Shavano
Position Description
Reward yourself with a career that will thrive. Apply now for classes starting soon to reap the benefits of a career with UnitedHealth Group! You’re looking for a career where your performance will be rewarded. When you join UnitedHealthcare’s Appeals Group, you’ll be part of a team committed to constantly challenging ourselves to improve in key performance areas. Here your performance will be rewarded as success is expected, measured and rewarded with increasing opportunities, responsibilities, and performance based pay incentives. You’ll be empowered to serve members in key markets ...

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