Supplemental Health Claims Associate

hcsc; Downers Grove (IL); On-site; USD 26,000 - 47,000; Full time

Job summary

Dearborn 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. The role requires attention to detail and strong analytical abilities in a fast-paced environment.

Under supervision, you will work with a variety of policies and systems to ensure accurate processing and timely decisions, while maintaining high-quality customer service and clear written communication.

Qualifications

• High School diploma with 2 years of related experience.
• Ability to analyze complex information and make decisions.
• Proficient in MS Word, Excel, SharePoint and Outlook.
• Strong customer service and communication skills.
• Attention to detail in a fast-paced environment.
• Knowledge of medical terminology.

Responsibilities

• Analyze, process, and recommend approval or denial of medical and life insurance claims.
• Handle Hospital Indemnity, Critical Illness/Specified Disease, Accident Insurance, and weekly income claims.
• Perform related duties supporting claim operations.

Skills

Decision making

Problem solving

Research skills

MS Word

Excel

SharePoint

Outlook

Customer service

Attention to detail

Verbal & written communication

Medical terminology

Education

High School diploma

Tools

ECM

STAR

Genelco/GIAS

Salesforce

UTS

Benefits Manager

Job description

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.

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.