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Claims Investigation Professional

1 week ago


Makati City, National Capital Region, Philippines UnitedHealth Group Full time
Job Description
  1. Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities.
  2. Analyze, identify trends, and provide reports as necessary.
  3. Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance.
  4. Manage subrogation files.
  5. Comply with employment contract terms, company policies, and procedures.