Appeals Service Representative - Miami, FL

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, a UnitedHealth Group company, provides network-based health and well-being benefits and services for employers and consumers nationwide. We use our strength, diversity and innovation to improve the lives of the more than 18 million people who receive our unique products and services. And our endless pursuit for excellence in everything we do extends to your career as well. Join us today for an inspired and purposeful mix of professional growth opportunities and personal rewards.



Responsibilities:
To work with the Health Plan Grievance Coordinator in the performance of administrative tasks related to processing and handling of member and provider complaints as well as grievances and clinical and administrative appeals.
Assist Grievance Coordinator in processing and resolution of complaints, grievances and appeals, following designated procedures.
Draft correspondence related to complaints, grievances, and appeals.
Maintain documentation and logs of complaints, grievances and appeals.
Perform other related activities.

Job Requirements:

Requirements:
High school education.
Ability to write coherent and clear correspondence and to relate with members and providers orally; well organized.
Ability to track and monitor receipt and resolution of grievances and appeals.
Experience with health care or government programs preferred

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