Aetna Business Consultant (Life Premium Waiver or LTD CLaims) in Portland, Oregon

Req ID: 39161BR

POSITION SUMMARY

**This position can be located on our Hartford CT, S Portland ME, Portland OR or any FL Aetna office. It is not a work-from home role.

Process Life Premium Waiver audits and appeals. Perform other assignments as needed.

Fundamental Components:

Process Life Premium Waiver audits and appeals. Perform other assignments as needed.

BACKGROUND/EXPERIENCE desired:

3+ years experience auditing Life Premium Waiver claims (or LTD claims) -- or performing appeal reviews.

5+ years processing Life Premium Waiver or LTD claims.

EDUCATION

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

LICENSES AND CERTIFICATIONS

Claims/Associate in Claims (AIC) is desired

Insurance/LOMA - Principles of Life Insurance is desired

Quality Assurance/Quality Improvement Associate Certification (CQIA) is desired

Nursing/Registered Nurse is desired

FUNCTIONAL EXPERIENCES

Functional - Products-Disability/Long Term Disability (Traditional)/1-3 Years

Functional - Claims/Quality management/1-3 Years

Functional - Products-Life/All Aetna Life Products/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Aetna's Long Term Disability Access System/1-3 Years/End User

REQUIRED SKILLS

General Business/Communicating for Impact/ADVANCED

General Business/Demonstrating Business and Industry Acumen/ADVANCED

General Business/Applying Reasoned Judgment/MASTERY

DESIRED SKILLS

Leadership/Driving Strategic and Organizational Agility/FOUNDATION

ADDITIONAL JOB INFORMATION

3+ years experience auditing Life Premium Waiver claims (or LTD claims) -- or performing appeal reviews.

5+ years processing Life Premium Waiver or LTD claims.

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: Management