Life Claims Analyst

Posted An Hour Ago
Be an Early Applicant
Dallas, TX, USA
In-Office
50K-89K Annually
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Reviews, investigates, and adjudicates life insurance claims from initial receipt through resolution. Responsibilities include verifying eligibility, calculating benefits, authorizing payments, communicating with stakeholders under ERISA standards, responding to inquiries, and ensuring decisions comply with policy and applicable state and federal guidelines. The role processes approximately 50 claims weekly and includes virtual paid training.
Summary Generated by Built In
Requisition Number: 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 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.

Skills Required

  • High School Diploma, GED, or equivalent work experience
  • At least 18 years of age
  • 2+ years of customer service experience, including analyzing and resolving issues for internal and external customers
  • 2+ years of recent experience processing life insurance claims from initial receipt through final resolution
  • Experience with life claims review, eligibility verification, benefit calculations, and benefit disbursement
  • Proficiency with computers and Windows personal computer applications
  • Ability to navigate and learn complex computer system applications
  • Availability for full-time work during stated business hours and occasional overtime
  • OnBase claims processing system experience
  • Ability to secure sensitive company documents and maintain a private dedicated work area
  • Ability to obtain approved high-speed internet service at the remote work location

What the Team is Saying

Optum Compensation & Benefits Highlights

  • Leave & Time Off Breadth — PTO is generally described as decent or good, and many note it as a strong part of the package. Actual ability to take time off can depend on workload and team coverage.
  • Retirement Support — Offerings include a 401(k) with employer match and access to an employee stock purchase plan, which are highlighted as meaningful components of total rewards. These programs are consistently referenced among core benefits.
  • Parental & Family Support — Parental and caregiver leave, along with adoption assistance, are publicly highlighted and viewed as notable elements of the package. Availability can be role-specific, but these supports contribute to overall breadth where offered.

Optum Insights

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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