Claims Resolution Specialist

1 day ago


Makati City, National Capital Region, Philippines beBeeClaimsResolution Full time ₱900,000 - ₱1,200,000
Job Description

We are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.

As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance.

The ideal candidate will have a strong analytical mind and excellent communication skills. They will be able to work independently and as part of a team, and will be proficient in computer applications.

Required Skills and Qualifications
  • High school diploma or equivalent
  • 4+ years of experience in claims recovery and resolution
  • Moderate proficiency with computer applications
  • Ability to multi-task and understand multiple products and benefits
Benefits

As a Claims Resolution Specialist at UnitedHealth Group, you will enjoy a range of benefits, including comprehensive health insurance, retirement savings plan, and paid time off.

Physical Requirements and Work Environment

This role requires prolonged sitting at a computer and use of hands/fingers across keyboard or mouse.

At UnitedHealth Group

Our mission is to help people live healthier lives and make the health system work better for everyone. We believe that diversity creates a healthier atmosphere and are committed to equal employment opportunities.

Join us to start Caring. Connecting. Growing together.



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