Aetna Premium Waiver Analyst in Augusta, Maine
Req ID: 39153BR
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
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
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)
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.
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
Technical - Desktop Tools//1-3 Years/End User
Benefits Management/Applying Life Cycle Intelligence/FOUNDATION
Benefits Management/Understanding Clinical Impacts/ADVANCED
General Business/Communicating for Impact/ADVANCED
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