Supplemental Health Claims Associate

HCSC Group; Chicago (IL); Hybrid; USD 26.000 - 47.000; Vollzeit

Benefits dieser Stelle

Health benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Supplemental life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Zusammenfassung

HCSC in Dearborn seeks a claims analyst to analyze, process and recommend approval or denial of Hospital Indemnity, Critical Illness/Specified Disease, Accident Insurance, Life product claims and weekly income claims on various policies. The role supports accurate, timely decision making with strong customer service focus.

Under supervision you will work with medical terminology knowledge, possess strong communication skills and proficiency in Word, Excel, SharePoint, and Outlook to ensure

Qualifikationen

• High School degree and 2 years of equivalent business/related work experience.
• Good decision-making, problem solving and research skills with ability to analyze complex information.
• PC proficiency to include MS Word, Excel, SharePoint, and Outlook.
• Excellent customer service skills.
• Detail oriented with ability to maintain high level of quality and accuracy in a fast-paced environment.
• Clear and concise verbal and written communication skills.
• Knowledge of medical terminology.

Aufgaben

• Analyzing, processing, and recommending approval or denial of Hospital Indemnity, Critical Illness/Specified Disease, Accident Insurance, Life product claims and weekly income claims on various policies.

Kenntnisse

Customer service

Attention to detail

Verbal communication

Written communication

Medical terminology knowledge

Analytical thinking

Ausbildung

High School diploma

Tools

MS Word

MS Excel

SharePoint

Outlook

Jobbeschreibung

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

Under supervision this position is responsible for analyzing, processing, and recommending approval or denial of Hospital Indemnity, Critical Illness/Specified Disease, Accident Insurance, Life product claims and weekly income claims on various policies with a variety of related duties.

Required Job Qualifications

• High School degree and 2 years of equivalent business/related work experience.
• Good decision-making, problem solving and research skills with ability to analyze complex information.
• PC proficiency to include MS Word, Excel, SharePoint, and Outlook.
• Excellent customer service skills.
• Detail oriented with ability to maintain high level of quality and accuracy in a fast-paced environment.
• Clear and concise verbal and written communication skills.
• Knowledge of medical terminology.

Preferred Job Qualifications

• HIAA, LOMA or ICA courses a plus.
• Aptitude for math and critical thinking skills.
• Knowledge of state regulations, statutes, and ERISA.
• Knowledge in any of the following core systems: ECM, STAR (Claim System), Genelco/GIAS, Salesforce, UTS, Benefits Manager.
• Knowledge in one (1) of the following claim types: Critical Illness/Specified Disease/Specified Disease, Accidental Insurance, Hospital Indemnity or Short-Term Disability.
• Ability to fluently speak and write Spanish a plus.

Pay Transparency Statement

At Dearborn, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.

• health and wellness benefits
• 401(k) savings plan
• pension plan
• paid time off
• paid parental leave
• disability insurance
• supplemental life insurance
• employee assistance program
• paid holidays
• tuition reimbursement
• plus other incentives

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.

This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

Dearborn Group Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range $19.13 - $34.17 Exact compensation may vary based on skills, experience, and location.

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned.

All applications, including resumes, must be submitted through HCSC's Career website on-line application process.

If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.