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 SummaryThe Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times.CLAIMS ANALYST
Required Job Qualifications:
- High School diploma or GED equivalent
- Ability to work in a fast-paced, customer centric and production driven environment
- Effective verbal and written communication skills
- Ability to work effectively with team members, employees/members, providers, and clients
- Ability to use common sense understanding to carry out instructions furnished in oral, written or diagram form
- Flexible; open to continued process improvement
- Ability to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications:
- 1 year Health Insurance experience
- Self-Funded Insurance/Benefits and/or TPA experience
- Knowledge of medical procedure and diagnosis coding
- Knowledge of medical terminology
- Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools
Required Job Qualifications:
- An understanding of claims examining; solid investigation, analytical and organizational skills, and attention to detail.
- Must have strong math and decision-making skills.
- Must be able to work in a deadline driven, fast-paced environment.
- Self-motivated with high learning agility.
- Must have excellent verbal and written communication skills with a passion for helping others.
- Must be a self-starter with strong time management skills to prioritize workload, manage and follow-up on numerous tasks.
- Capable of making decisions in the absence of specific directions with minimal supervision.
- Ability to effectively cope with change and shift gears accordingly in a dynamic environment.
- Must display a strong commitment to teamwork and have the ability to work in a collaborative environment.
- Effective in the use of personal computers and related software. Proficiency in working with Word, Excel and Outlook.
- High School diploma or GED equivalent
Preferred Job Qualifications:
- Four-year college degree in medical and/or business field.
- Life and/or Disability claim knowledge.
- Knowledge of medical terminology.
- Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools.
- Proficiency in working with Microsoft Access.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
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.
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.
Base Pay Range$14.97 - $28.12Exact compensation may vary based on skills, experience, and location.
Skills Required
- High school diploma or GED equivalent
- Ability to work in a fast-paced, customer-centric, production-driven environment
- Effective verbal and written communication skills
- Ability to work effectively with team members, employees or members, providers, and clients
- Ability to understand and carry out oral, written, or diagrammed instructions using common sense
- Flexible and open to continued process improvement
- Ability to learn proprietary systems, adapt to various system platforms, and use Microsoft Excel and Word
- Understanding of claims examining
- Strong investigation, analytical, organizational, mathematical, and decision-making skills
- Attention to detail
- Ability to work in a deadline-driven, fast-paced environment
- Self-motivated with high learning agility
- Excellent verbal and written communication skills with a passion for helping others
- Strong time management skills to prioritize workloads and follow up on numerous tasks
- Ability to make decisions with minimal supervision
- Ability to cope with change and adapt in a dynamic environment
- Strong commitment to teamwork and collaborative work
- Effective use of personal computers and related software, including Microsoft Word, Excel, and Outlook
- One year of health insurance experience
- Self-funded insurance, benefits, or third-party administrator experience
- Knowledge of medical procedure and diagnosis coding
- Knowledge of medical terminology
- Familiarity with Summary Plan Documents, insurance booklets, or benefit description tools
- Four-year college degree in a medical or business field
- Life and/or disability claims knowledge
- Proficiency with Microsoft Access
What We Do
Dearborn Group is the trade name for Dearborn Life Insurance Company. Since 1969, we have been providing ancillary benefits to employer groups across the country. When combined with medical coverage, our suite of employer-paid and voluntary insurance solutions—life, short- and long-term disability, vision, critical illness and accident insurance—creates a comprehensive benefits package and gives employers, their employees, and their families complete peace of mind. Dearborn Group insurance products are issued by Dearborn Life Insurance Company, 701 E. 22nd St. Suite 300, Lombard, IL 60148.
