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

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

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. Residents Only: The salary range for this is $48,300 - $94,500 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

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.

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.

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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

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