Supplemental Health Claims Associate

Dearborn Life Insurance Co; Downers Grove (IL); Vor Ort; USD 40.000 - 71.000; Vollzeit

Zusammenfassung

Dearborn Life Insurance Co in Downers Grove, IL is seeking a claims analyst to analyze, process, and recommend approval or denial of Hospital Indemnity, Critical Illness/Specified Disease, Accident Insurance, and Life product claims. This role supports weekly income claims under supervision.

Requirements include a High School diploma or equivalent and 2 years of related experience, plus proficiency in Word, Excel, SharePoint and Outlook, strong customer service, and knowledge of medical

Qualifikationen

• High School diploma or equivalent required.
• Ability to analyze complex information and make informed decisions.
• Proficiency in MS Word, Excel, SharePoint and Outlook.
• Strong customer service skills with attention to quality.
• Detail oriented with fast-paced accuracy and clear communication.
• Knowledge of medical terminology.

Aufgaben

• Analyze, process and recommend approval or denial of Hospital Indemnity, Critical Illness/Specified Disease, Accident Insurance and Life product claims.
• Handle weekly income claims and related duties under supervision.
• Maintain documentation and communicate with policyholders and internal teams.

Kenntnisse

Problem solving

Research skills

Customer service

Attention to detail

Verbal and written communication

Decision making

Spanish language

Ausbildung

High School diploma or equivalent

Tools

MS Word

Excel

SharePoint

Outlook

ECM

STAR

Genelco/GIAS

Salesforce

UTS

Benefits Manager

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.

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 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 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. 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.

Dearborn Life Insurance Co, a subsidiary of Health Care Service Corporation, 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 contact 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 Dearborn Group's Career website on-line application process.

Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © 2019 Dearborn Group brand companies. All Rights Reserved.