Life Claims Analyst

UnitedHealth Group; Dallas (TX); Remote; USD 50,000 - 89,000; Full time

Job summary

UnitedHealth Group is seeking a Life Claims Analyst to support reviews, investigations, and adjudication of Life claims from initial receipt through final resolution. This National Remote role follows EST hours and includes a 2–3 month virtual training period from home.

As a full-time analyst, you will render determinations, maintain ERISA-compliant communications, and respond to inquiries within established timeframes while ensuring accurate decisions in line with policy and regulations.

Qualifications

• High School Diploma or GED or equivalent work experience.
• 2+ years customer service experience in life insurance context.
• 2+ years processing life insurance claims from receipt to final resolution.
• Proficiency with computer and Windows applications; ability to learn new systems.
• Full-time role; EST business hours (7:00 am–6:00 pm) with possible overtime.

Responsibilities

• Review and render determinations on Life claims.
• Maintain communication within ERISA standards through review and investigation.
• Respond to inquiries within established service timeframes.
• Provide accurate claim decisions per policy, state and federal guidelines.
• Adjudicate Life claims with current weekly volumes.

Skills

Customer Service

Problem Solving

Life Insurance Claims

Policy Verification

Windows Proficiency

Education

High School Diploma or GED

Tools

OnBase

Windows Applications

Job 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.

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

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.

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 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.

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.

*All employees working remotely will be required to adhere to UnitedHealth 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 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $49,700 - $88,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.