Claims Manager

This position follows a hybrid schedule with three (3) in-office days per week. Our office is located at 2720 N. Tenaya Way, Las Vegas, NV.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Claims Manager is responsible for management and administration of multiple functions, or management of general business operations within Claims Department.

This position is full time (40hours/week) Monday - Friday, with flexibility required to work any 8-hour shift within our normal business hours of 6:00am - 6:00pm PST. Occasional overtime and / or weekend work may be necessary based on business needs. This is a hybrid role, you will work on-site at our office located at 2720 N. Tenaya Way, Las Vegas, NV, Monday through Wednesday, and remotely on Thursday and Friday.

We offer 4 - 8 weeks of on-the-job training. The hours of the training will be aligned with your schedule. Training will be conducted onsite.

Primary Responsibilities:

• Oversee daily operations of multiple levels of staff and multiple functions across one or more business units
• Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actuals)
• Provide expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims
• Authorize the appropriate payment or refers claims to investigators for further review
• Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary
• Lead project management and implementation initiatives

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 with 5+ years of claims experience
• Must be 18 years of age OR older
• 5+ years of Supervisory, Managerial, and / or leadership experience in claims adjudication or customer service
• 2+ years of experience managing relationships with clients and / or vendors
• 2+ years of experience managing budgets, process improvement and quality assurance
• Proficiency within Microsoft Excel (ability to create pivot tables, basic formulas, sorting, and read data)
• Ability to work full-time (40 hours/week), Monday through Friday, with flexibility required to work any 8-hour shift within our normal business hours of 6:00 AM - 6:00 PM PST. Occasional overtime and/or weekend work may be necessary based on business needs. This is a hybrid role you will work on-site at our office located at 2720 N. Tenaya Way, Las Vegas, NV, Monday through Wednesday, and remotely on Thursday and Friday.

Telecommuting Requirements:

• Reside within commutable distance to the office at 2720 N. Tenaya Way, Las Vegas, NV
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Soft Skills:

• Ability to be proactive
• Sense of Urgency
• Time Management Skills
• Ability to follow through with daily tasks

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 - $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

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