Business Process Quality Management-Supervisor (Current Employee), Greensboro, NC – February 27, 2014
• Responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances • Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions • Analyzes and identifies trends for all appeals and grievances • Implement – more... new processes and trained new information • Research and resolve written Department of Insurance complaints and complex or multi-issue provider complaints submitted by consumers and physicians/providers. • Coach employees and provides feedback to eliminate customer/company issues – less
Clinical Appeal Reviewer (Former Employee), Atlanta, GA – February 25, 2014
Pros: i was able to help many people understand their benefits.
Cons: not having enough staff to handle the volume of work.
I learned how to work in a fast paced production driven environment. Also I gained extensive knowledge of state and federal compliance rules and guidelines. The hardest part of the job was not getting emotionally involved with the member's situations. This position required that I deal with people who were at difficult times in their lives(substance – more... abuse, mental illness and children with disabilities) which required compassion and patience. – less
Nice place to work, but there was some inconsistency.
Claims Specialist (Former Employee), St. Louis, MO – February 24, 2014
Pros: casual dress & good benefits
Cons: not a lot of interaction with people on your actual team
A normal work day for me consisted of working various types of claims. I learned different skill sets that allowed me to learn how to adjust multiple business lines. It was a friendly and laid back place to work the majority of the time. What I found to be most difficult was being moved to different teams because of lack of work and the fact that the – more... majority of my team was located out of state, so a lot of our interaction was done via phone and through email. I loved the challenges the job presented at times because it allowed me to step outside my comfort zone. – less
Management (Current Employee), Baltimore – February 23, 2014
Cons: company is overwhelmingly large.
Most co-workers are "team players". Most are helpful and go above and beyond. Management at present is fair and accommodating. The hardest part of the job is there are frequent changes in processes. Most enjoyable part of the job is the privilege to work from home.
I had a wonderful experience as UHC provided me with many different experiences and got me involved on many projects so that I could get the most out of my internship. It opened my eyes to the corporate world as well as what it takes to be on a successful team.
Client Facilitator Enroller (Former Employee), New York, NY – February 21, 2014
Pros: we met new and different peaple. got to go to different locations that were very beautiful
Cons: not everyone qualified for the health insurance from the state.
My typical day at work was going into my different sites and helping peaple apply for the health insurance or recertify and when i was not doing that I was making calls following leads and doing paper work.i learned alot from working with different groups of people.The hardest part was turning down someone because they didn't qualify, but at the end – more... my most enjoyable part was when the client came in to tell me that they were approved and were insured. – less