Claims Advocate: Leave, Disability & Escalations

Hispanic Alliance for Career Enhancement; Chicago (IL); On-site; USD 30,720 - 33,062; Full time

Benefits offered by this job

Comprehensive benefits package

401k matching

Paid time off

Job summary

A leading claims management firm in Chicago is seeking a Claims Processor to actively manage escalated inquiries across various claims types. You will be responsible for analyzing and authorizing claims while providing excellent customer service. The ideal candidate should have at least 3 years of related experience, including disability claims, and have strong analytical and interpersonal skills. This role offers a competitive salary with a comprehensive benefits package including medical, dental, and retirement plans.

Qualifications

• 3+ years of related experience including 2 years of disability claims experience.
• Ability to manage ambiguity and work in a team environment.
• Must handle work-related stress and meet deadlines.

Responsibilities

• Makes independent claim determinations and approves complex claims.
• Analyzes and authorizes leave and disability claims.
• Communicates clearly with claimants and clients regarding claims.
• Facilitates claim resolution and handles escalated calls.

Skills

Knowledge of ERISA regulations

Working knowledge of medical terminology

Proficient computer skills

Exemplary call handling skills

Excellent interpersonal communication skills

Analytical thinking skills

Effective decision-making

Strong organizational skills

Ability to work in a team

Education

High school diploma or GED

Bachelor’s degree from an accredited college

Tools

Microsoft Office

SMART

SIR

GAIN

TAMS

Juris

viaOne express

mySedgwick

Job description

A leading claims management firm in Chicago is seeking a Claims Processor to actively manage escalated inquiries across various claims types. You will be responsible for analyzing and authorizing claims while providing excellent customer service. The ideal candidate should have at least 3 years of related experience, including disability claims, and have strong analytical and interpersonal skills. This role offers a competitive salary with a comprehensive benefits package including medical, dental, and retirement plans.