Sr LTD Claims Analyst

Dearborn Group; Portland (ME); Remote; USD 54,000 - 122,000; Full time

Job summary

Dearborn Group is seeking a Sr LTD Claims Analyst to enhance the success of its claims department. This remote role involves analyzing disability claims, decision-making for payments, and providing exceptional customer service. Candidates should possess strong analytical skills, a BA/BS degree, and preferably fluency in Spanish, alongside proven experience in claims adjudication.

Benefits

Comprehensive benefits package

401(k) and pension options

Paid time off

Tuition reimbursement

Life insurance and disability insurance

Employee assistance program

Paid holidays

Qualifications

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

Responsibilities

• Provide timely and accurate support to clients and claims department.
• Analyze information to make claim decisions and payments.
• Ensure prompt payment and liability management of disability claims.

Skills

Analytical skills

Good math and calculation skills

Clear and concise verbal and written communication skills

Decision-making and information analysis

Ability to meet deadlines

Establishing and maintaining relationships

Education

BA/BS or equivalent in insurance

Tools

Word

Excel

Outlook

Job description

Join to apply for the Sr LTD Claims Analyst role at Dearborn Group.

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. Obtain and analyze information to make claim decisions and payments on disability claims. Develop and apply appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management of disability claims. Provide responsive customer service to claimants, policyholders, brokers, and internal departments.

Required Qualifications

• BA/BS or equivalent combination of education and insurance industry experience.
• 3 years of claims adjudication experience with LTD disability claims.
• Experience with computer applications such as Word, Excel, Outlook.
• Work 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.
• Experience establishing and maintaining cooperative relationships with internal and external customers.
• Analytical skills.
• Clear and concise verbal and written communication skills.
• Prior experience coaching staff to enable excellence in customer service and claims management while 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 also preferred.

This role is remote.

Additional Information

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, we offer a comprehensive benefits package, including health and wellness benefits, 401(k), pension, paid time off, parental leave, disability insurance, life insurance, employee assistance, paid holidays, tuition reimbursement, and other incentives. The offered compensation varies based on skills, education, and experience, and is aligned with an annual incentive bonus plan.

Dearborn Group is an Equal Opportunity Employer committed to a diverse and inclusive work environment. 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.

Salary Range

$54,800.00 - $121,100.00

Additional Details

• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Function: Finance and Sales
• Industry: Insurance