Claims Analyst

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $14 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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Dearborn Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

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. Our suite of employer-paid and voluntary insurance solutions—including life, short- and long-term disability, vision, critical illness, and accident insurance—creates a comprehensive benefits package that offers employers, their employees, and their families complete peace of mind.

📋 Description

• Accurately adjudicate and process medical, dental, vision, life, disability, or other related claims for assigned groups • Handle related correspondence and electronic inquiries • Process claims according to established plan documents and claim processing guidelines • Meet established total turnaround times • Investigate claims and make analytical decisions with minimal supervision • Prioritize workload, manage and follow up on numerous tasks • Collaborate with team members, employees/members, providers, and clients • Adapt to process improvements, system platforms, and changing priorities

🎯 Requirements

• 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 carry out oral, written, or diagrammatic instructions using common sense understanding • Flexibility and openness to continued process improvement • Ability to learn new/proprietary systems and adapt to various system platforms • Effective use of MS Excel/Word • Understanding of claims examining • Solid investigation, analytical, and organizational skills • Attention to detail • Strong math and decision-making skills • Ability to work in a deadline-driven, fast-paced environment • Self-motivated with high learning agility • Excellent verbal and written communication skills • Strong time management skills and ability to prioritize workload, manage, and follow up on numerous tasks • Ability to make decisions with minimal supervision • Ability to cope with change in a dynamic environment • Commitment to teamwork and ability to work collaboratively • Proficiency in Word, Excel, and Outlook • Preferred: 1 year Health Insurance experience • Preferred: Self-Funded Insurance/Benefits and/or TPA experience • Preferred: Knowledge of medical procedure and diagnosis coding • Preferred: Knowledge of medical terminology • Preferred: Familiarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools • Preferred: Four-year college degree in medical and/or business field • Preferred: Life and/or Disability claim knowledge • Preferred: Proficiency in Microsoft Access

🏖️ Benefits

• 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 • Other incentives • Annual incentive bonus plan