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Disability Claims Analyst - Las Vegas, NV - 936639 - Las Vegas - 89143

Company: unitedhealthgroup
Location: Las Vegas
Posted on: June 12, 2021

Job Description:

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 doingyour life's best work.SM When you are in the business of health care, you're in the business of people. AtUnitedHealth Groupwe want every customer experience to be distinctly personal. The challenge is complex. When people call us for help, their focus is on getting the best care possible. We help them understand their benefits and their options. This part of their lives matters a lot to them and it matters just as much to us. Our customer service teams have a serious responsibility to make every contact informative, productive, positive, and memorable for what it says about how much we care. Flexible? Friendly? Fast on your feet? That's a great start. Accurate? Accountable? Self Directed? These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and the way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven and customer-focused. To put it mildly, there is never a dull moment. Summary: Under minimal supervision the General Liability Claims Adjuster reviews, analyzes, investigates, makes liability determinations, sets appropriate claim reserves and negotiates claim settlements up to authorized levels and manages litigation. Primary Responsibilities: Evaluates, investigates and negotiates settlements on new and pending claims to determine liability, as applicable to all State and Federal statutes and client contract provisions. Documents claim files, assesses potential legal liability exposure, set appropriate claim reserves and negotiate appropriate claim settlements based on thorough investigation and all supporting claim documents. Assesses all proven damages, including medical specials, property damage reports, and other supporting documentation requested or submitted to substantiate claim. Investigates questionable claims. Determines need for additional supporting documentation or medical documentation. Determine appropriate liability assessment and calculations. Performs ongoing investigation until claim is legally settled, withdrawn by claimant or attorney, or claim is closed appropriately in accordance with internal policies and procedures. Responds to telephone and written inquiries from clients, insurance carriers, claimants, attorneys, repair shops, appraisers, physical damage experts, and physicians, within statutory requirements. Identifies and forwards claims as needed, to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts. Set diaries and track time frames as mandated by statute and regulation. Initiate and respond to all correspondence timely, including letters of representation from attorneys. This level is responsible for independently reviewing, negotiating and settling simple to complex general liability and auto claims. Refers more complex liability claims to higher levels for review and direction. Youll 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 higher) 2+ years of experience with liability claim investigations, tendering of claims, subrogation, liability reserve setting, negotiating and liability litigation management required. 2+ years of experience applying fundamental liability concepts, practices and procedures of State or Federal laws and requirements. Experience with Microsoft Word (creating & editing), Microsoft Excel (sorting & filtering) and Microsoft Outlook (emailing & calendaring) Ability to obtain a Property and Liability Adjuster license within the first 90 days of employment If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders Preferred Qualifications: 1+ years prior auto/general liability adjusting experience Soft Skills: Excellent oral and written communication skills, analytical and problem solving skills required. Physical and Work Environment: Extended periods of sitting at a computer and use of hands/fingers across keyboard or mouse Office environment UnitedHealth Group is an essential business.The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography-specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us. You can learn more about all we are doing to fight COVID-19 and support impacted communities at: 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 isyour lifes best work.SM 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 Groupis a drug free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: UnitedHealth Group, healthcare, Claims, Claims Analyst, Las Vegas, Nevada, Liability,hiring immediately, #rpo

Keywords: unitedhealthgroup, Las Vegas , Disability Claims Analyst - Las Vegas, NV - 936639 - Las Vegas - 89143, Other , Las Vegas, Nevada

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