Health Care Service Corporation ยท 1 day ago
Claims Analyst - LHB
United States
Full-time
Remote
Entry Level
$14.68/hr - $27.57/hr
1+ years expHealth Care Service Corporation is a purpose-driven company that invests in the professional development of its employees. The Claims Analyst role involves accurate adjudication and processing of various claims, ensuring compliance with established guidelines and providing excellent customer service.
Health InsuranceInsurance
Responsibilities
The 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
The life and disability claims analyst are responsible for securing and analyzing claim information to make accurate benefit determinations on disability claims or other claim types as assigned, in accordance with policy provisions, established claim processing guidelines and appropriate state and federal laws; achieving results by effective use of all appropriate resources
Calculate benefit payments and communicate claim decisions on new and continuing claims within established turnaround times
Provide responsive and caring customer service
Qualification
Required
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
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
Preferred
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
Four-year college degree in medical and/or business field
Life and/or Disability claim knowledge
Proficiency in working with 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
Plus other incentives
Company
Health Care Service Corporation
Health Care Service Corporation is a customer-owned health insurance company.
10001+ employees
H1B Sponsorship
Health Care Service Corporation has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (198)
2024 (166)
2023 (132)
2022 (145)
2021 (73)
2020 (59)
Funding
Current Stage
Late StageLeadership Team
Manika Turnbull
Senior Vice President & Chief Human Resources Officer
Recent News
Company data provided by crunchbase