Sr LTD Claims Analyst

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

Job summary

Join a leading healthcare company as a Claims Adjudicator where you will manage disability claims, ensuring accurate payments and providing exceptional customer service. This remote position requires a BA/BS, claims adjudication experience, and strong analytical skills. Be part of an organization committed to your professional growth with comprehensive benefits and a supportive work environment.

Benefits

401(k) plan

Pension plan

Paid parental leave

Employee assistance program

Tuition reimbursement

Qualifications

• 3 years of claims adjudication experience with LTD disability claims.
• Fluency in Spanish is preferred.
• Strong financial background preferred.

Responsibilities

• Analyze claim information to make decisions on disability claims.
• Ensure accurate payments and liability management.
• Provide customer service to claimants and internal departments.

Skills

Analytical skills

Communication skills

Customer service

Decision-making

Math skills

Education

BA/BS or equivalent

Tools

Word

Excel

Outlook

Job description

At Dearborn, our employees are the cornerstone of our business and the foundation of 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.
• 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.
• 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.

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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), pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, and other incentives.

The compensation offered will vary depending on skills, education, knowledge, and experience. This role may be eligible for an annual incentive bonus, subject to plan terms.

Equal Opportunity Employment

We are an Equal Opportunity Employer dedicated to respecting and valuing the differences of our employees. 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