[Hiring] Life Claims Analyst @UnitedHealth Group

Role Description

This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

As a Life Claims Analyst, you will be responsible for providing expertise or general claims support to teams in:

• Reviewing, researching, investigating, negotiating, processing, and adjudicating Life claims.
• Authorizing the appropriate payment or referring claims to Team Lead or Manager for validation of adverse or over limit approvals.

This position is full-time (40 hours/week). Employees are required to work our normal business hours of 7:00 am - 6:00 pm EST. Core hours business hours are 9:00 am - 4:00 pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer 2 - 3 months of paid training. The hours during training will be aligned with their schedule. Training will be conducted virtually from your home.

Primary Responsibilities:

• Review and render determinations on Life claims.
• Initiate and maintain appropriate level of communication within ERISA standards through the claim review and investigation process.
• Respond to all inquiries generated relative to Life claims within established service timeframe.
• Provide accurate claim decisions in accordance with Policy, State and Federal guidelines.
• Adjudicate Life claims with current average volumes of 50 claims weekly.

Qualifications

• High School Diploma / GED OR equivalent work experience.
• Must be 18 years of age OR Older.
• 2+ years of experience in Customer Service, including analyzing and problem-solving issues for policyholders, employers, for both internal and external customers.
• 2+ years of recent experience processing life insurance claims from initial receipt through final resolution, including claim review, verification of eligibility, benefit calculations, and benefit disbursement.
• Proficiency with computer and Windows personal computer applications, which includes the ability to navigate and learn new and complex computer system applications.

Requirements

• This position is full-time (40 hours/week). Employees are required to work our normal business hours of 7:00 am - 6:00 pm EST. Core hours business hours are 9:00 am - 4:00 pm EST. It may be necessary, given the business need, to work occasional overtime.

Preferred Qualifications

• OnBase claims processing system experience.

Telecommuting Requirements

• Ability to keep all company sensitive documents secure (if applicable).
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

Benefits

• Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
• In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).
• The salary for this role will range from $49,700 - $88,800 annually based on full-time employment.

Application Deadline

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

Company Description

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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