This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come makes an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function are responsible for investigating, recovering and resolving 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. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 8:00 pm EST. It may be necessary, given the business need, to work occasional overtime. We offer 4 weeks of on-the-job training. The hours of training will be aligned with your schedule. Primary Responsibilities:

• Respond timely to all questions from assigned team members and management about internal process and procedures
• Provide continuous availability for questions and assistance
• Provide ongoing coaching and development to ensure peak performance
• Handle escalated calls; anticipate customer needs and proactively develop solutions to meet them
• Mentor team members by completing side - by - side training
• Research and provide guidance regarding applicability of laws, regulations and other requirements to cases, contracts, or decisions
• Prepare and facilitate ongoing training opportunities for assigned team members
• Provide or seek settlement authority in accordance with internal policy / guidelines and client expectations
• Perform oversight on work completed by assigned team members monthly to ensure understanding of department policies and procedures
• Deliver oversight results to assigned team members
• Identify trends and impacts to our business and resolve where appropriate or bring those concerns forward to management
• Partner with management in the creation and development of team job aids to ensure the information is consistent and up to date
• Collaborate with business partners to resolve issues impacting the business
• Attend and participate in Team Lead team meetings by raising team concerns or questions to ensure the teams are consistent across all internal policies and procedures
• Create and deliver client reporting as needed
• Prioritize and organize own work to meet deadlines and established objectives
• Assist management on special projects and any other assigned tasks

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
• Must be 18 years of age OR older
• 1+ years of experience within an operations support role (i.e., previous administrative background involved with performing administrative duties on a day-to-day basis)
• Proficiency with using Microsoft Word (documentation purposes) and Microsoft Excel (data entry for reporting purposes)
• Ability to work an 8-hour shift between 8:00 am - 8:00 pm EST from Monday - Friday including the flexibility to work occasional overtime based on business need

Preferred Qualifications

• 1+ year of healthcare customer service experience
• Experience with medical records

Telecommuting Requirements:

• 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:

• Organizational skills
• 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 addit