Claims Supervisor - Wausau, WI

Description 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 is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.
 
When you work with UnitedHealthcare, what you do matters. It's that simple…and it's that challenging.
 
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.
 
Position Description: 
The claim supervisor reports to an assigned manager. This individual interacts with various departments; including claim service, enrollment, billing, care management, etc.  Will also have contact with vendors, regulatory agencies and other members of the general public.  The claim supervisor provides technical guidance, supervision, daily work direction and on-the-job training. Will maintain an acceptable level of customer service, productivity and quality of work performed for the assigned unit.

 
Primary Responsibilities: 

• Supervises, analyzes, authorizes and directs the work activities for assigned employees
• Analyzes team performance results by reviewing productivity and quality of work performed by assigned unit
• Supervises and plans monthly team meetings
• Meets with individual staff members regularly to assess and align performance goals to ensure staff members are on schedule in attaining their goals
• Completes performance reviews yearly for staff
• Maintains staff job results by coaching, counseling, and disciplining employees; planning, monitoring and documenting job performance
• Develops staff by providing information, educational opportunities and experiential growth opportunities
• Responds to staff by assisting with questions; provides a course of action
• Analyzes and resolves inquiries from members and providers
• Supervises and directs work activities for assigned employees
• Responsible for maintaining an acceptable level of customer service, productivity and quality of work performed for the assigned unit
• Maintains staff job results by coaching, counseling and disciplining employees; planning, monitoring and appraising job results
• Participates in developing, refining and implementing unit policies and procedures
• Maintains staff by orienting and training employees
• Provides data in preparation for unit budget; shares accountability for performance against operating budget
• Contributes to team effort by accomplishing related results as needed
• Identifies methods of increasing auto adjudication
• Identifies and develops the skill sets of individual staff members for further advancement 

Regardless of your role at UnitedHealthcare, 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.

Requirements Qualifications:

• 2+ years of claims processing experience required
• 2+ years of supervisory or team lead experience required
• 2+ years of external/internal customer service experience required
• Healthcare industry experience preferred
• Associates degree or equivalent work 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.  In addition, employees in certain positions are subject to random drug testing.