Position Description: 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.In providing consumer-oriented health benefit plans to millions of people, our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system.Regardless of your role at UnitedHealthcare Employer & Individual, the support you feel all around you will enable you to do what you do with energy, integrity, and confidence. So, take the first step in what is sure to be a fast paced and highly diversified career.Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.Primary Responsibilities:Plan for, develop, and manage the quality and productivity of Production (claim) teamsAlign with key business partners to serve the customer(s)Foster and maintain a collaborative relationship with internal and external customers to ensure customer satisfaction and profitability; work with business partners to identify ways to improve business processesDrive successful business results and customer satisfactionAssist in building, reviewing and adhering to the annual business planControl expenses and increase profitability via productivity and quality gainsShare best practices with other teams and sites; apply as appropriateWork with the Supervisor and teams to ensure performance guarantees are metEnsure the Production Team / Supervisors continually improve their performance and organization meets Service Level; agreements / performance guarantee goalsEnsure team is aligned to and meeting the goals of the business planOrganize and direct quality work effortsMaximize team performance against site objectiveReview team's work results and pattern of handling claims queues and adjustmentsPartner with supervisors to ensure teams are meeting production and quality metricsUse appropriate controls to manage the team's productionProvide strategic guidance for the production organizationPlay a leadership role by implementing action plans to increase quality and productivityAccomplish annual business plans including operating budgetsEffectively provide direction for the teamsCommunicate site business objectives and resultsEnable team to develop and complete their plan in support of site objectivesNegotiate solutions and resolves conflictsAnticipate and handle critical situationsMeet with teams on a regular basis and share responsibility for surfacing and resolving opportunities / issuesWork with staff members to analyze results and help guide team when necessaryMotivate individuals and team to provide exceptional customer serviceMaintain a positive work environment that supports high performing teams and rewards people based on performanceEstablish personal credibility with other executives and the team membersProvide frequent formal and informal coaching sessions with supervisorsWork with supervisors to create a performance improvement / development plan that focuses on increasing job competencyAddress strategies to assist them to attract, develop and retain their staffDevelop employees and teams in areas such as project management, meeting facilitation, interviewing, etc.Participate in salary budget discussions and decisionsProvide coaching to supervisors based on production and quality results and develop improvement plans when needed, use the employee scorecard as appropriate during 1 on 1 meetings
Required Qualifications:High School Diploma or GED2+ years of experience in a leadership role, managing staff and processes2+ years of experience in transaction operations or a similar transaction based work environmentAbility create, copy, edit, send, and save within Microsoft Word and Microsoft OutlookAbility to work with pivot tables in Microsoft ExcelPreferred Qualifications:Prior experience managing National Account transaction teamSix Sigma and Lean trainingCareers 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 healthcare. 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. 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. Keywords: Claims Manager, Kingston, NY, Word, Excel, Outlook, National Account transaction, LEAN
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.