Valuable Experience in Healthcare Operations with Strong Cross-Functional Exposure - Grievance and Appeals Specialist Optum Employee Review

4.0
Jun 25, 2025
Recommend
CEO approval
Business outlook

Pros

Gained strong exposure to the U.S. healthcare system, particularly within Medicare and Retirement plans. The work was meaningful — resolving complex claim issues directly impacted patient outcomes and member satisfaction. Cross-functional collaboration was a core part of the job; I worked regularly with compliance, clinical, and member services teams. The company supports a data-driven culture, and I appreciated being encouraged to use analytics and reporting to drive process improvements.

Cons

While the role offered a lot of autonomy, internal systems and approval workflows could be slow or bureaucratic at times. Opportunities for advancement in Ireland were somewhat limited. The pace could be demanding, especially when handling time-sensitive or high-stakes appeal cases.

Explore other reviews about Optum

5.0
Mar 24, 2026
Recommend
CEO approval
Business outlook

Pros

Very good culture and managers are very helpful, good work benefits

Cons

not much movement or increment

3.0
Jun 4, 2026
Anonymous employee
Recommend
CEO approval
Business outlook

Pros

Some very talented people give so much of themselves to the company, the clients and their co-workers. I work with (and have worked with) some excellent, smart, supportive people.

Cons

Too many layoffs. Upper management is clueless about how the day to day work gets done, what it takes to make certain changes to processes, and how to treat employees. Some are great. Mostly, they just look at numbers. So many of us have been doing our jobs long enough to know what is needed for certain requests. But we don't get a voice. We just have to do it and suck it up. They are firing ('reduction in force') all of the seasoned staff and let the rest deal with the fall-out. So many teams are losing good people but those people are training their off-shore replacements before they are told about being cut. So how is that a reduction in force? It's just a reduction in payroll numbers. Everyone is on edge just waiting for the next axe to fall. And we have to try and learn or teach another role with less experienced people and more work. It's crazy. On milestone anniversaries, they send an email recognition but once the milestone gets to over 15 years, you are a target. Pay and benefits are fine by me. Raises are practically non-existent, even after layoffs and asking employees to take on more responsibility. that's messed up. They talk about work/life balance but that doesn't trickle down to the actual workers who are so stressed they fear for their jobs if they don't do the extra mile. Many of us are just hanging on instead of quitting so we can at least get some severance. Others are actively looking.

See reviews by: Helpful|Rating|Date|All