Aetna Premium Waiver Analyst in Augusta, Maine

Req ID: 39153BR

POSITION SUMMARY

This position is located in our So Portland ME office and is not a work-from-home position.

Manage new Premium Waiver claims and ongoing liability for claims

Strong Risk Management skills and ability to partner with clinical and disability organization

Fundamental Components:

Review and manage new Premium Waiver claims and ongoing liability for claims

Strong Risk Management skills

Strong communication skills

Ability to partner with disability and clinical organization

BACKGROUND/EXPERIENCE desired:

1-3 years Disability claim management experience

Knowledge of Unfair Claim Settlement Practices Act, ERISA, ADA, and federal, state and local regulations affecting claim investigation, disability decisions, claim payment, taxation and reporting requirements.

Experience performing multiple calculations with a high degree of accuracy, and working in a multi-system (mainframe and Windows)

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

FUNCTIONAL EXPERIENCES

Functional - Claims/Claim processing - Long Term Disability/1-3 Years

Functional - Claims/Claim processing - Short Term Disability/1-3 Years

Functional - Risk Management/Insurance, finance and loss control/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Desktop Tools//1-3 Years/End User

REQUIRED SKILLS

Benefits Management/Applying Life Cycle Intelligence/FOUNDATION

Benefits Management/Understanding Clinical Impacts/ADVANCED

General Business/Communicating for Impact/ADVANCED

Telework Specifications:

Full-time in office position with the potential for casual work at home a few days per week

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Claim