Life Claims Analyst

UnitedHealth Group•Tampa, FL

2d•Remote

About The Position

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 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. 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 7:00am – 6:00pm 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. 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.

Requirements

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 performing end to end life insurance claims processing, including claims review and benefit release
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 7:00am – 6:00pm 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

Nice To Haves

OnBase claims processing system experience

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