Sr LTD Claims Analyst

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

Job summary

Join a leading health care service company as a Claims Adjudicator, responsible for managing and analyzing disability claims. You will ensure timely decisions and payments while developing strong relationships with clients and internal teams. This role offers opportunities for professional development within a diverse and inclusive environment.

Benefits

Comprehensive benefits package

401(k) and pension plans

Paid time off and parental leave

Tuition reimbursement

Annual incentive bonus

Qualifications

• At least 3 years of claims adjudication experience with LTD disability claims.
• Experience meeting or exceeding quotas.
• Fluency in Spanish is highly preferred.

Responsibilities

• Providing timely and accurate support to client companies and the claims department.
• Making claim decisions and payments on disability claims.
• Coaching staff to ensure excellence in customer service.

Skills

Decision-making

Information analysis

Communication skills

Analytical skills

Financial background

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 invests 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. The role involves 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 payments, and providing responsive customer service to claimants, policyholders, brokers, and internal departments.

Required Qualifications:

• BA/BS or an 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.
• Decision-making and information analysis skills.
• Ability to meet deadlines while managing 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.
• Experience coaching staff to ensure excellence in customer service and claims management, demonstrating role model behavior.
• Knowledge of medical terminology.

Preferred Qualifications:

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

This role is remote.

#LI-REMOTE

#LI-CH1

Additional Information

If you are being referred by a connection at HCSC, ask 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 programs, paid holidays, tuition reimbursement, and other incentives. Compensation varies based on skills, education, and experience, and may include an annual incentive bonus, subject to plan terms.

Equal Opportunity Employment

We are committed to a diverse and inclusive 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.

Base Pay Range

$54,800.00 - $121,100.00