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We have modest goals: Improve the lives of others. Change the landscape of health care forever. Leave the world a better place than we found it. Such aspirations tend to attract a certain type of person. Crazy talented. Compassionate. Driven. To these individuals, we offer the global reach, resources and can-do culture of a Fortune 5 company. We provide an environment where you’re empowered to be your best. We encourage you to take risks and in return, offer a world of rewards and benefits for performance. Exceeding your limits is an exceptional start to your life's best work.SM

 

Just like you, we are driven by 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 your future at UnitedHealth Group at careers.unitedhealthgroup.com

 

Job Category:

Claims

Country:

US

Approximate Salary:

Not Specified

Position Type:

Full Time

Short Term Disability (STD) Team Leader - South Portland, ME

UHG - South Portland, Maine

Posted: 11/15/2018

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. 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.

Individuals in this position are responsible for supporting the Financial Protection Claims Organization with regard to claims management oversight of the STD claims team. They will effectively and professionally utilize sound judgment, technical knowledge, communication skills, and resources (Claims Organization, Claim’s processes and procedures, quality assessment tool, etc.) to meet the needs of the Financial Protection Organization.

Primary Responsibilities:

  • Support and coach new and existing employees with their claim management practices, create consistency, and improve quality audit results
  • Assist in promoting the use of appropriate tools / reference material (including policies & procedures, claim workflow documents, file documentation, clinical resources, financial resources and vendor options
  • Identify trends and training needs and work with training department to ensure delivery to address needs
  • Follow up with employees to ensure understanding of all training and new information provided to them
  • Address and support the needs / requests of customers and account managers and ensure team is doing the same (lead by example)
  • Manage block of claims based on team needs
  • Review reports and manage team by addressing outliers
  • Act as backup to STD Manager
  • Complete other duties as identified by STD Claims Manager
  • Demonstrate role model behavior regarding the core values of Integrity, Compassion, Relationships, Innovation, Performance
  • Demonstrate a positive attitude
  • Be accountable
  • Consistently meets established productivity, schedule adherence, and quality standards
  • Treat everyone with dignity and respect
  • Demonstrate Open and Honest Communication – Approach the Claims Specialists (CS) to initiate a discussion when recommendations are outlined prior to finalizing a decision. Allow the CS the opportunity to amend / complete recommendations prior to pushing back the rehab / claim decision. 
  • Remain available / approachable – Encourage the CS to schedule time for claim discussions and promote critical thinking by active coaching and mentoring
  • Understand UnitedHealth Group’s Pay For Performance culture
  • Strong commitment to continuous learning and process improvement
  • Adhere to appropriate response and turnaround times on all requests and deliverables
  • Assess customer needs and requirements, especially non - standard requests and problems, and respond or refer to appropriate resources
  • Teach, coach / mentor, provide feedback and guide others
  • Demonstrate ability in customer service issue resolution and relationship building
  • Work in a self - directed capacity with minimal guidance and seek guidance on only the most complex analyses
  • Ability to make timely, confident decisions based on available data / facts
  • Strong time management, organizational and prioritization skills and ability to balance multiple priorities
  • Solid conflict resolution skills
  • Ability to take direction and respond to requests and feedback
  • Solid understanding of organizational structure and ability to facilitate issues through appropriate channels, including how and when to involve management
  • Work effectively and partner with others to contribute to a team environment
  • Ability to collaborate across all levels of organization for successful outcomes
  • Demonstrate initiative and willingness to learn new tasks
  • Motivated to work independently and remain focused on the task(s) at hand in the face of shifting obstacles to complete assigned tasks
  • Appropriately apply policies and procedures to ensure successful compliance with internal and external guidelines
  • All other responsibilities as assigned by Management

Required Qualifications:
  • High School Diploma / GED (or higher)
  • 3+ years of disability claims experience
  • Comfortable utilizing multiple computer systems / applications, including Microsoft Outlook, Microsoft Excel, and Microsoft Word (ability to create, edit and save)
Preferred Qualifications:
  • 1+ years of supervisory experience
  • Knowledge of Financial Protection products
Soft Skills:
  • Solid communication skills, including the ability to listen objectively and articulate the facts of an issue verbally and in writing
  • Ability to multi - task and shift priorities quickly, professionally and positively to accommodate urgent tasks and to reach team, business area, and corporate goals
  • Ability to interact professionally with all internal and external customers, including peers, members of management, members of other business areas / segments, attorneys, etc.

Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action 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.

 

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


Keywords: Senior, Claims, disability, South Portland, ME, customer service

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