recovery and resolutions re presentativeUnitedHealth Group

Job Title: Recovery / Resolutions Representatives
Who We Are:
Optum is a part of the UnitedHealth Group, a Fortune 5company, serving 125 million individual consumers.
We are a diverse company with over 189,000 employees worldwide and over 14,000 employees in the Philippines
We are a leader in nearly every aspect of today's health care landscape
We leverage on having the largest single proprietary network of physicians, hospitals, health facilities, and caregivers in the United States. At Optum, we believe that what makes you special can inspire your life's best work.
Welcome to one of the toughest and most fulfilling ways to help people, including you. 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.SM
Join us today and unlock a world of rewards and benefits for performance, career growth, work-life balance and the opportunity to pursue your passion.
What We Offer:
Market Competitive Pay Levels
Retirement Plan
Medical Plan (HMO) from Day 1 of employment
Dental, Medical, and Optical Reimbursements
Life and Disability Insurance
Paid Time-Off Benefits
Sick Leave Conversion
Tuition Fee Reimbursement
Employee Assistance Program (EAP)
Annual Performance Based Merit Increases
Employee Recognition
Training and Staff Development
Employee Referral Program
Employee Volunteerism Opportunity
All Mandatory Statutory Benefits
Role and Responsibilities:
Responsible for investigating, recovering, and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities.
Answer incoming phone calls in a polite and professional manner. Facilitate the handling of callers' request for information. Route calls to other staff members; take and deliver accurate and complete messages as appropriate. Screen calls and initiate resolution of questions/issues without consultation with others.
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.
Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work.SM
Job Qualifications
Have completed 2 years in college with at least 6 months BPO experience, local account is considered.
Must be willing to work in Muntinlupa
Open to shifting schedules, graveyard shift (9 pm - 6 am)
Entry Level / Junior, Apprentice Customer Service Business Process Outsourcing 20 openings Bachelor's degree graduate
Are you ready to rev up your life? Optum, a UnitedHealth Group, business is ready for you. Our incredible global growth has been built by people with a singular focus on helping millions live healthier lives and an intense love of achievement. Our future is everywhere including our robust operations in the Philippines. We offer the global reach, resources, and can-do culture of a Fortune 7 company. It is time to learn more and start doing your life's best work. (SM)Careers at Optum, a UnitedHealth Group companyIf you're going to change careers, why not look for an employer that's out to change everything? If you have that kind of appetite for change, Optum is the right place for you. As part of the growing UnitedHealth Group family of businesses, we're driving innovation and change all over the world. That's creating opportunity right here in the Philippines for people with energy, passion and a focus on quality. We're driven to help people live healthier lives and to help make the health care system work better for everyone. We want to make a difference and that makes this the one job opportunity that can change everything for you.As part of UnitedHealth Group, a Fortune 7 company, Optum is a leading health services and innovation company dedicated to help people live healthier lives and help make the health system work better for everyone. With more than 189,000 people collaborating worldwide and over 14,000 employees in the Philippines, Optum combines people, technology, data and action to improve the delivery, quality and efficiency of health care.This work takes all of your commitment, skills, passion and energy. That's why we rely on a set of fundamental principles that are guiding our way forward. Our values of integrity, compassion, relationships, innovation and performance serve as a foundation to transform health care.Are you in? Learn more about careers at Optum: workatoptum.comDiversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity 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. Optum is a drug-free workplace. © 2020 Optum Global Solutions (Philippines) Inc. All rights reserved.
Kalibrr

Muntinlupa City, Metro Manila
Permanent
Full-time