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Job Information

UnitedHealth Group Short Term Disability Senior Claims Representative - South Portland, ME - Telecommute in Maine

Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm)

This is an opportunity that’s all about where you’ve been. Your experience. Your potential. Your skills. Because on the team at UnitedHealth Group , your potential and your impact can be career changing. No company has put together better teams of passionate, energetic and all out brilliant Claims Representatives. This is where you come in. We’ll look for your experience and expertise to help keep our service levels and accuracy extremely high. We’ll also look for your ideas on how to constantly evolve our claims processes. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 6 leader.

This position is full-time (40 hours / week) Monday-Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8am-6pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 300 Southborough Dr., South Portland, Maine. This position is eligible for telecommuter status.

This is a challenging role that takes an ability to thoroughly review, analyze and research short term disability claims in order to verify member initial and ongoing for payment. You’ll need to be comfortable navigating across various computer systems to locate critical information. Attention to detail is critical to ensure accuracy which will ensure timely processing of the member's claim.

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid-19 Resources Page at: https://info.uhg.com/

Primary Responsibilities:

  • Management of incoming Short Term Disability claims

  • Documenting claim data into the claims management system; requesting outstanding information; and analyzing responses

  • Reviewing, researching, investigating, processing and adjusting claims information

  • Documenting appropriate payment or refer claims to investigators for further review

  • Analyze and identify trends and provide reports as necessary

  • Consistently meet established productivity, schedule adherence, and quality standards

  • Provide excellent customer service

  • Associates will receive calls from internal and external customers verifying coverage and status of benefits

  • This position promotes advocacy for the customer and focuses strongly on customer satisfaction

  • Ad-hoc tasks, assignments and projects

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:

  • Bachelor’s degree and/or currently pursuing a degree from an accredited college / university; coursework to obtain degree must be completed prior to start of employment. Degree must be awarded and verified within 6-8 weeks following the commencement date at your school

  • Must be eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization (F-1 students with practical training and candidates requiring H-1Bs, TNs, etc. will not be considered) F-1 visa holders with Optional Practical Training (OPT) who will require H-1B status, TNs, or current H-1B visa holders will not be considered. H1-B and green card sponsorship is not available for this position

Preferred Qualifications:

  • Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

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 health care. 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.(sm)

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

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.

Job Keywords: Senior Claims Rep, Early Careers, Maine, Portland, UHC

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