Healthcare Investigation Representative

About this role

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities

Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting

Growing together. Primary Responsibilities: 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 Analyze, identify trends and provide reports as necessary Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance Manage subrogation files Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regard to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so This is a challenging role with serious impact

You'll need to sort through complex situations to understand and clarify where errors happened or where they may continue to happen. It's a fast paced environment that takes focus, intensity and resilience. Required Qualifications: Graduate of any 4 year course 3+ years of claims or collections experience 1+ year of experienc

Apply for this role on UnitedHealth Group’s official careers site.