Top 25 Claim representative i Jobs in Wausau, Wi

UMR Appeals Representative
UnitedHealthcare —Wausau, WI
- $18 - $32 an hour
- Overtime
- Remote
- 18 years or older
- Pass drug screening
- Research
1d
Workers Compensation Claims Representative
Wisconsin Municipal Mutual Insurance Company —Wisconsin
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Residential
- Health savings account
- Health insurance
Quick Apply
Property Claims Adjuster
Wisconsin Mutual Insurance —Schofield, WI
- $50,000 - $80,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- 401(k)
Quick Apply
19h
Denial Coordinator
Surgical Associates, SC —Wausau, WI
- From $20 an hour
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Claim Representative I
Church Mutual Insurance, S.I. —Merrill, WI
- $52,600 - $78,800 a year
- Bachelor's degree
- Medical terminology
- Communication skills
Quick Apply
1d
Correspondence Representative Senior
UnitedHealthcare —Wausau, WI
- $18 - $32 an hour
- 8 hour shift
- 18 years or older
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Employee stock purchase plan
6d
Economic Support Specialist
Marathon County Wisconsin —Wausau, WI
- From $24.13 an hour
- Full-time
- Computer literacy
- Writing skills
- Pass drug screening
- Work from home
2h
Patient Access Representative - FT
Sanford Health —Weston, WI
- $16.25 - $23.00 an hour
- 8 hour shift
- Background check
- Hospital
- Customer service
- Health insurance
- Dental insurance
Quick Apply
8d
Multi-Line Representative - State Farm Agent Team Member
Tonya Springer - State Farm Agent —Wausau, WI
- $60,000 - $80,000 a year
- Full-time
- Office
- Organizational skills
- Leadership
- Health insurance
- 401(k)
Quick Apply
Parts and Service Support Representative
ROCKET INDUSTRIAL INC —Wausau, WI
- $20 - $25 an hour
- Full-time
- ERP systems
- Mid-level
- Communication skills
Quick Apply
Territory Manager - Wausau
Zoll Medical Corporation —Wausau, WI
- $100,000 - $175,000 a year
- Weekends as needed
- Hospital
- 3 years
- Clinic
Manager, Patient Advocacy
Atlas Health —United States
- $57,000 - $77,000 a year
- Full-time
- Remote
- Up to 50% travel
- Travel
- Senior level
Quick Apply
22h
Allstate P&C Licensed Senior Customer Service Representative (Remote - Eastern / Central Time Zone)
Partner's Insurance Group Inc —United States
- $47,000 - $67,000 a year
- Full-time
- Remote
- Mid-level
- 1 year
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
2d

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UMR Appeals Representative

UnitedHealthcare -
Wausau, WI

Apply Now

Job Details

Full-time
$18 - $32 an hour
1 day ago

Qualifications

Confidential information handling
Windows
Decision making
Computer skills

Full Job Description

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.

UMR, UnitedHealthcare's third-party administrator (TPA) solution, is the nation's largest TPA. When you work with UMR, what you do matters. It's that simple . . . and it's that rewarding.

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. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.

Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast - paced and highly diversified career.

This is a full-time position (40 hours/week), Monday through Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm in your time zone. It may be necessary, given the business need, to work occasional overtime.

Training will be up to 10 weeks. The hours during training will be 7:00am to 3:00pm CST, Monday - Friday.

Watch this video to understand the expectations of being a remote worker with UnitedHealthcare.

Primary Responsibilities:

Research and resolve written complaints submitted by consumers and physicians / providers
Ensure complaint has been categorized correctly
Obtain additional documentation required for case review
Review case to determine if review by clinician is required
Render decision for non - clinical complaints using sound, fact - based decision making
Complete necessary documentation of final appeals or grievance determination using appropriate templates
Communicate appeal or grievance information to members or providers and internal / external parties within the required timeframe

This is a challenging role with serious impact. You'll need strong analytical skills and the ability to effectively interact with other departments to obtain original claims processing details. You'll also need to effectively draft correspondence that explains the claim resolution / outcome as well as next steps / actions for the member.

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 OR equivalent work experience
Must be 18 years of age OR older
1+ years of current OR previous claims processing or appeals experience within the healthcare industry
1+ years of customer service experience with analyzing and solving customer problems
1+ years of experience with computer and Windows PC applications, which includes the ability to navigate and learn new and complex computer system applications
This is a full-time position (40 hours/week), Monday through Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm in your time zone. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications:

Experience with healthcare, medical, OR pharmacy terminology

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 (UHG requires a wired internet connection: cable, DSL or fiber internet service with Minimum speed standard of 25 Mb download/10-15 Mb upload. Wireless services such as satellite, hot spot, line of sight antenna cannot be used for telecommuting.)

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 addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

claim representative i jobs in wausau, wi

UMR Appeals Representative

Workers Compensation Claims Representative

Property Claims Adjuster

Denial Coordinator

Claim Representative I

Correspondence Representative Senior

Economic Support Specialist

Patient Access Representative - FT

Multi-Line Representative - State Farm Agent Team Member

Parts and Service Support Representative

Territory Manager - Wausau

Manager, Patient Advocacy

Allstate P&C Licensed Senior Customer Service Representative (Remote - Eastern / Central Time Zone)

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