Claims Analyst

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Life Claims Analyst (2392389)

Life Claims Analyst (2392389)

2392389

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.

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

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. Authorizes the appropriate payment or refers 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.

• 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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

• 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
• 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.

• OnBase claims processing system experience

• 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 United Health Group approved high-speed internet connection or leverage an existing high-speed internet service.

* All employees working remotely will be required to adhere to United Health Group’s Telecommuter Policy

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…