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 Senior Recovery/COB Representative - Trumbull, CT

Details
Country: USA
Location: Connecticut-Danbury/Bridgeport Bridgeport, CT 06601
Total applied: 16
Senior 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 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, possibly in multiple functions. Work does not usually require established procedures. Works independently. Mentors others. Acts as a resource for others. Coordinates other Insurance Carrier activities.Qualifications: Applies knowledge/skills to complex activities. Demonstrates a depth and breadth of knowledge/skills in own area and is often able to apply these outside of own function. Often acts as a technical resource to others in own function. Anticipates customer needs and proactively identifies solutions. Solves complex problems on own; proactively identifies new solutions to problems. Plans, prioritizes, organizes and completes work to meet established objectives. Acts as a facilitator to resolve conflicts on team; seen as key team member on project teams spanning more than own function. 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. 

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