Senior LTD Claims Analyst

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Health Care Service Corporation

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health care • insurance • wellness • member driven • healthcare insurance

10,000+

Description

•Contributing to the overall success of departmental objectives by providing timely and accurate support to client companies and the claims department. •Obtain and analyze information to make claim decisions and payments on disability claims. •Develop and apply appropriate claim and disability management techniques to ensure prompt and accurate payment and liability management of disability claims. •Provide responsive customer service to claimants, policyholders, brokers, and internal departments.

Requirements

•BA/BS or equivalent combination of education and insurance industry experience. •3 years of claims adjudication experience with LTD disability claims. •Experience with computer applications Word, Excel, Outlook desired. •Work experience in decision-making and information analysis. •Ability to meet deadlines while balancing competing demands. •Good math and calculation skills. •Experience meeting or exceeding quotas. •Experience establishing and maintaining cooperative working relationships with internal and external customers. •Analytical skills. •Ability to travel as needed. •Clear and concise verbal and written communication skills. •Prior experience coaching staff to enable excellence in customer service and claims management while demonstrating role model behavior. •Knowledge of medical terminology •Strong financial background •Fluency in Spanish is highly preferred. •Completion of HIAA, LOMA or ICA courses preferred