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Disability Claims Analyst - South Portland, ME

UnitedHealth Group

South Portland, ME
Job Code:
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Job Details

744679 Disability Claims Analyst South Portland ME

Disability Claims Analyst - South Portland, ME (744679)

Position Description

Position Description:
You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return, we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.

Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Authorizes the appropriate payment or refers claims to investigators for further review. Conducts data entry and re-work; analyzes and identifies trends and provides reports as necessary.

Primary Responsibilities:
  • Review and render determinations on Critical Illness / Accident / Hospital Indemnity 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 Critical Illness / Accident / Hospital Indemnity claims within established service time frame.
  • Provide accurate claim decisions in accordance with Policy, State and Federal guidelines.
  • Analyzes and investigates.
  • Provides explanations and interpretations within area of expertise.
Required Qualifications:
  • High School Diploma / GED
  • Proficient with Microsoft Word (create documents and work within templates) and Microsoft Excel (create and maintain spreadsheets)
  • 1+ years of experience analyzing and problem-solving issues in a customer service setting
Preferred Qualifications:
  • 1+ years of claims processing experience
  • 1+ years of experience providing customer service to policy-holders, employers, internal and external customers
Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of healthcare. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life’s best work.
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.

Keywords: analyzing; Customer South Portland; UnitedHealth; UHG

Job Details

  • Contest Number744679
  • Job TitleDisability Claims Analyst - South Portland, ME
  • Job FamilyClaims
  • Business SegmentUHC Benefit Ops - EandI Ops

Job Location Information

  • South Portland, ME
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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