Sr. Appeals Reviewer - Problem-solver needed!

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.



United Behavioral Health, a UnitedHealth Group company, is a leading provider of emotional wellness services. Currently serving over 22 million Americans, our innovative solutions include behavioral health, employee assistance, work/life and pharmacy management services, as well as a unique disability support program. We offer specialized, confidential support to help our members live and work well, and excellent resources and rewards for your career so you can do the same. A healthy business awaits you at UBH.



We are in search of an organized, detail-oriented research specialist to examine appeals and make determinations to uphold or overturn the current case status. This is a challenging position that offers a rare opportunity to gain legal and regulatory experience while enjoying a close-knit team, room for growth, and a great location. If you're ready to advance your career, we invite you to apply today.



Primary responsibilities include:


Researching appeals


Upholding or overturn current determinations


Writing letters to inform parties involved of the decision


Sending appeals corrections to claims adjusters


Job Requirements:

Experience working with insurance (preferably in healthcare) in essential to this role. Proven research and problem-solving skills are a must. A background in managed behavioral health is a big plus, and customer service experience will be helpful. Computer proficiency is key.



UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.



If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!



Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.