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 - Oldsmar, FL (714355)

Full-time Oldsmar, FL

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Region: North America Country United States
State/Province: FL City: Oldsmar
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.   The role of a Senior Appeals Representative is to serve as a trusted resource in providing problem resolution and support for our Medicare members regarding their complex appeals or grievances related to their coverage or claims. This means developing and maintaining member relationships both on the p...

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Appeals Supervisor - Santa Ana, CA (712929)

Full-time Santa Ana, CA

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Region: North America Country United States
State/Province: CA City: Santa Ana
Position Description
Position Description:You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to 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 appropri...

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Senior Appeals Representative - Cypress, CA (712611)

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 - New Hyde Park, NY (710411)

Full-time NEW HYDE PARK, NY

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Region: North America Country United States
State/Province: NY City: NEW HYDE PARK
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.SM 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 fam...

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Appeals Representative - Cypress, CA (712606)

Full-time Cypress, CA

Quick Look
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 family of ...

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Appeals Representative - Cypress, CA (712607)

Full-time Cypress, CA

Quick Look
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...

Learn More
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