Recovery/COB Representative - Trumbull, CT

UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.UnitedHealthcare, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.Primary Responsibilities: Positions in this function are responsible for investigating, Coordination of Benefits for 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. Extensive work experience within own function. Work is frequently completed without established procedures. Works independently. May act as a resource for others. May coordinate others Insurance Carrier activities.Qualifications: Applies knowledge/skills to a range of moderately complex activities. Demonstrates great depth of knowledge/skills in own function. Sometimes acts as a technical resource to others in own function. Proactively identifies solutions to non-standard requests. Solves moderately complex problems on own. Works with team to solve complex problems. Plans, prioritizes, organizes and completes work to meet established objectives. May coordinate work of other team members. High school education or equivalent experience.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.  UnitedHealth Group is a drug-free workplace.  Candidates are required to pass a drug test before beginning employment.