Sr LTD Claims Analyst

Health Care Service Corporation; Amarillo (TX); Remote; USD 54,000 - 122,000; Full time

Job summary

Join a leading health services company where you will assist in the management of claims, particularly for disability. This remote role requires strong analytical and communication skills along with a background in claims adjudication. The opportunity includes comprehensive benefits and a dedicated emphasis on employee development.

Benefits

Health and wellness benefits

401(k) plan

Pension plan

Paid time off

Parental leave

Disability insurance

Life insurance

Tuition reimbursement

Qualifications

• 3 years of claims adjudication experience with LTD disability claims.
• Fluency in Spanish is highly preferred.
• Experience in coaching staff for customer service excellence.

Responsibilities

• Provide support to client companies and the claims department.
• Analyze information to make decisions on disability claims.
• Ensure prompt and accurate payments and liability management.

Skills

Analytical skills

Customer service

Decision-making

Communication skills

Math skills

Education

BA/BS or equivalent combination of education

Tools

Word

Excel

Outlook

Job description

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position is responsible for contributing to the overall success of departmental objectives by providing timely and accurate support to our client companies and the claims department. Responsibilities include obtaining and analyzing information to make claim decisions and payments on disability claims, developing and applying appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management, and providing responsive customer service to claimants, policyholders, brokers, and internal departments.

Required Qualifications:

• BA/BS or equivalent combination of education and insurance industry experience.
• At least 3 years of claims adjudication experience with LTD disability claims.
• Experience with computer applications such as Word, Excel, Outlook.
• Experience in decision-making and information analysis.
• Ability to meet deadlines while balancing competing demands.
• Good math and calculation skills.
• Experience meeting or exceeding quotas.
• Ability to establish and maintain cooperative relationships with internal and external customers.
• Strong analytical skills.
• Clear and concise verbal and written communication skills.
• Prior experience coaching staff to enable excellence in customer service and claims management, demonstrating role model behavior.
• Knowledge of medical terminology.

Preferred Qualifications:

• Strong financial background.
• Fluency in Spanish is highly preferred.
• Completion of HIAA, LOMA, or ICA courses is preferred.

This role is remote.

#LI-REMOTE

#LI-CH1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Dearborn, you will be part of an organization committed to offering meaningful benefits to support your life outside of work, including health and wellness benefits, 401(k) plan, pension plan, paid time off, parental leave, disability insurance, life insurance, employee assistance program, paid holidays, tuition reimbursement, and other incentives.

The offered compensation varies based on skills, education, knowledge, and experience and may include an annual incentive bonus plan.

Equal Opportunity Employment

We are an Equal Opportunity Employer dedicated to creating a welcoming environment that respects and values diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Base Pay Range

$54,800.00 - $121,100.00