Senior Claims Analyst

Job not on LinkedIn

🕒 August 26

🌪️ Kansas – Remote

🌪️ Kansas – Remote

💵 $18 - $33 / hour

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 4%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Support a Claim Unit and/or vendor staff, Claims Team, and internal departments with claim administrative and technical tasks • Accurately adjudicate and process medical, dental, vision, and other related claims for assigned groups • Handle related correspondence and electronic inquiries according to plan documents, claim processing guidelines, and turnaround times • Advise team members regarding claim processing procedures • Secure and analyze claim information to determine life and disability benefits under policy provisions and applicable state and federal laws • Calculate benefit payments • Communicate claim decisions on new and continuing claims • Provide responsive and caring customer service • Complete tasks under general management supervision • Serve as a liaison for internal departments

🎯 Requirements

• High School diploma or GED equivalent • 3 years prior medical claim processing experience • Minimum three years life and/or disability claim administration experience, or equivalent combination of relevant experience • Ability to work in a fast-paced, customer-centric, production-driven environment • Excellent verbal and written communication skills • Ability to work effectively with employees/members, providers, clients, Client Managers, and all levels of staff • Demonstrated critical thinking and ability to carry out oral, written, or diagram-form instructions • Flexible and open to continued process improvements • Self-directed; able to work with minimal supervision • Good leadership, organizational, and interpersonal skills • Ability to handle complex situations and reach resolution • Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) • Ability to adapt to various system platforms • Effective use of MS Excel and Word; proficiency with Word, Excel, and Outlook; Access preferred • Strong investigation, analytical, organizational, and attention-to-detail skills • Strong math and decision-making skills • Ability to work in a deadline-driven, fast-paced environment • Self-motivated with high learning agility • Strong time management skills and ability to prioritize workload, manage, and follow up on numerous tasks • Ability to make decisions independently or with minimal supervision • Ability to cope with change and shift gears in a dynamic environment • Strong commitment to teamwork and collaborative work • Effective use of personal computers and related software • Understanding of medical terminology preferred • Four-year college degree in a medical and/or business field is a plus

🏖️ Benefits

• Curated development plans and professional development opportunities • 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 • Annual incentive bonus plan • Other incentives