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)

The RECOVERY RESOLUTION SPECIALIST is responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data. Investigate and pursue recoveries and payables on subrogation claims and file management. Process recovery on claims. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. May conduct contestable investigations to review medical history. May monitor large claims including transplant cases. PRIMARY RESPONSIBILITIES:

• Adjusting claims
• Process and post refund checks that are solicited and unsolicited
• Research claim payment accuracy as related to refunds received
• Open, sort, date stamp, count, scan and document the receipt of file correspondence, including refund checks. Distribute correspondence to staff accordingly
• Answer incoming phone calls in a polite and professional manner. Facilitate the handling of callers' request for information. Route calls to other staff members; take and deliver accurate and complete messages as appropriate. Screen calls and initiate resolution of questions/issues without consultation with others
• Ability to work with providers, clients, and internal departments to assist with processing refunds
• Assist staff and/or the management team with case investigation, research or development as needed
• File Maintenance/Archiving
• Other Administrative duties as assigned by manager
• Some work is completed without established procedures.
• Basic tasks are completed without review by others.
• Supervision/guidance is required for higher level tasks.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

REQUIRED QUALIFICATIONS:

• High School Diploma / GED (or higher)
• Healthcare Insurance experience
• Experience using a computer and Microsoft Office including Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
• 1+ years of experience dealing with medical claims
• Ability to work any 8hr shift between the hours of operations Monday - Friday 6:30am to 5:30pm

PREFERRED QUALIFICATIONS:

• ICD9 and CPT coding experience

SOFT SKILLS:

• Advanced analytical / problem solving skill
• Effective organizational and prioritization skills
• Strong interpersonal skills with ability to function as a positive team member as well as independently
• Ability to work in a fast paced multi-tasking environment
• Excellent oral and written communication skills

CAREERS AT UNITEDHEALTHCARE EMPLOYER & INDIVIDUAL. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is YOUR LIFE'S BEST WORK.SM Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

A Fortune 6 company, we're focused on helping people live healthier lives while making the health system work better for everyone. Here, we seek to empower people with the information, guidance and tools to make personal health choices. We work harder and we aim higher. We expect more from ourselves and each other. And, at the end of the day, we’re doing a lot of good for more than 142 million people worldwide.