Senior Claims Analyst

Responsibilities

• Adjudicate and process medical, dental, vision, and other related claims
• Secure and analyze claim information to make life and disability benefit determinations
• Calculate benefit payments and communicate claim decisions
• Provide responsive and caring customer service to members and providers
• Advise team members regarding claim processing procedures
• Handle correspondence and electronic inquiries for assigned groups

Requirements

• High School diploma or GED equivalent
• 3 years of medical claim processing experience
• 3 years of life and/or disability claim administration experience
• Proficiency in MS Excel, Word, and Outlook
• Strong math and decision-making skills
• Ability to analyze and interpret Summary Plan Descriptions (SPDs)

Preferred Qualifications

• Health Insurance or Third Party Administrator experience
• Four-year college degree in medical or business field
• Understanding of medical terminology
• Proficiency in Microsoft Access

About the Company

Dearborn Group is the trade name for Dearborn Life Insurance Company. As an ancillary subsidiary of Health Care Service Corporation (HCSC), we provide employer-paid and voluntary insurance solutions including life, disability, vision, and accident insurance.