Senior Claims Representative - Short Term Disability

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 Senior Claims Representative – Short Term Disability you will be reviewing claim forms, eligibility, medical information and vocational information to determine if Short Term Disability benefits are payable.

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 8:00 am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.

We offer 8 - 12 weeks of paid training. The hours of training will be based on your schedule or will be discussed on your first day of employment.

Primary Responsibilities:

• Individuals in this position are responsible for managing a caseload of initial liability and ongoing Short Term Disability claims 
• They will effectively and professionally utilize sound judgment, technical knowledge, communication skills, and focused resources (medical, vocational, legal, etc.) to manage claims to appropriate conclusion in accordance with applicable internal and external regulations, policies and procedures

To succeed as a Senior Claims Representative - Short Term Disability, ideal candidates should:

• Demonstrate role model behavior regarding the core values of Integrity, Compassion, Relationships, Innovation, Performance 
• Demonstrate a positive attitude
• Being accountable
• Consistently meets established productivity, schedule adherence, and quality standards
• Treat everyone with dignity and respect
• Demonstrate Open and Honest Communication
• Remain available / approachable

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
• 1+ years of experience in reviewing and rendering initial liability determinations on Short Term Disability claims
• 1+ years of experience issuing payments on Short Term Disability claims
• Experience with Microsoft Excel (creating spreadsheets), Microsoft Word (creating documents) and Microsoft Outlook (drafting emails, calendar management)
• Presently employed within UHC Benefit Operations, Consumer Ops
• Ability to work 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 8:00 am - 5:00pm. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• FML, PFML and / OR Worker's Compensation claims experience
• Experience with medical terminology

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 $20 - $36 hourly 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.