Recovery and Resolution Analyst

Welcome to UnitedHealth Group, where we are dedicated to helping people live healthier lives and making the health system work better for everyone. We are currently seeking a Recovery and Resolution Analyst to join our team and play a critical role in identifying and resolving potential issues and discrepancies in healthcare claims. In this role, you will have the opportunity to utilize your analytical and problem-solving skills to ensure accurate and timely reimbursement for our members and providers. If you have a passion for making a positive impact in the healthcare industry and possess strong attention to detail and communication skills, we encourage you to apply for this exciting opportunity. Join us in our mission to improve the lives of millions of individuals and help shape the future of healthcare. Review and analyze healthcare claims to identify potential issues and discrepancies. Communicate with members and providers to gather necessary information and resolve claim inquiries. Utilize data and reports to identify trends and patterns in claim submissions and payments. Work closely with cross-functional teams to develop and implement effective solutions for claim resolution. Conduct thorough research and investigations to determine root cause of claim issues. Ensure compliance with company policies, procedures, and regulatory guidelines. Maintain accurate and organized records of all claim activities and resolutions. Collaborate with internal and external stakeholders to address and resolve complex claim issues. Act as a subject matter expert on claim recovery and resolution processes and provide guidance and support to team members. Continuously monitor and improve claim recovery and resolution processes to enhance efficiency and accuracy. Proactively identify and communicate potential risk areas and recommend preventive measures. Stay up-to-date with industry changes and trends to ensure best practices are implemented. Provide excellent customer service and maintain a positive and professional demeanor at all times. Contribute to a positive and collaborative team environment. Uphold the company's mission and values in all interactions and work activities. UnitedHealth Group is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.