Life Claim Analyst – National Remote

At UnitedHealthcare, 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 equitable. Ready to make a difference? Join us and start doing your life’s best work.^SM

Positions in this function are 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 8:00 AM – 5:00 PM EST (Eastern Standard Time zone) .

We offer 2 – 3 months of paid training. The hours during training will be 8am to 5pm EST, Monday – Friday.  Training will be conducted virtually from your home.

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

 

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

 

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.

Required Qualifications:

• High School Diploma / GED OR equivalent work experience
• Must be 18 years of age OR older
• 2+ years of experience with analyzing and problem – solving issues in a customer service setting
• 2+ years of experience with providing customer service to policyholders, employers, internal and external customers
• 2+ years of previous or current experience with processing Life/Death claims 
• Proficiency with computer and Windows personal computer applications, which includes the ability to navigate and learn new and complex computer system applications
• Ability to work our normal business hours of 8:00 AM – 5:00 PM EST (Eastern Standard Time zone) . 

 

Preferred Qualifications:

• OnBase claims processing system experience

 

Telecommuting Requirements:

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

 

Soft Skills:

• Be accountable
• Demonstrate a positive attitude
• Remain available / approachable
• Treat everyone with dignity and respect
• Demonstrate Open and Honest Communication
• Understand UnitedHealth Group’s Pay for Performance Culture
• Strong commitment to continuous learning and process improvement
• Consistently meets established productivity, schedule adherence, and quality standards
• Demonstrate role model behavior regarding the core values of Integrity, Compassion, Relationships