at Health Care Service Corporation in Lombard, Illinois, United States
Job Description
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.
Come join us and be part of a purpose driven company who is invested in your future!
Job Summary
Under supervision, this position is responsible for reviewing and processing of life, waiver of premium, AD & D, Critical Illness, and Accident Insurance claims for Group Insurance policies. Performs a variety of related duties including timely follow up, accurate assessment of supporting information, appropriate adjudication of these claims with optimum outcomes and customer service.
Required Job Qualifications:
* Bachelor's degree or 4 years of business experience.
* 2 years of claims experience, proficient in processing life and waiver of premium claims.
* PC proficiency to include Microsoft Word, Excel and Outlook.
* Excellent math aptitude, analytical and critical thinking skills.
* Good decision making skills - ability to analyze complex claim information.
* Excellent Customer Service skills.
* Clear and concise verbal and written communication skills.
* Problem solving and research skills.
* Experience handling multiple tasks and managing priorities.
* Detail oriented with ability to maintain high level of quality and accuracy while meeting productivity targets in a fast-paced environment
* Knowledge of state regulations, statutes and ERISA in reference to Life and waiver of premiums.
* Experience in the following core systems: ECM, STAR (Claim System), Genelco/GIAS, Siebel, UTS, UWPro, Casetrak, Benefits Manager, and ImagePlus.
* Experience in processing any of the following two (2) claim types: Critical Illness/Specified Disease, Wellness benefit, Accidental Insurance, GAP, Permanent and Total Disability (PTD benefits, Accidental Death and Dismemberment, Permanent and Total Disability (PTD), and Accelerated Death Benefits.
Preferred Job Qualifications:
* LOMA courses.
* Ability to fluently speak and write Spanish a plus.
THIS IS A FLEX ROLE WORKING 3 DAYS IN THE OFFICE AND 2 DAYS FROM HOME
#LI-HYBRID
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
HCSC Employment Statement:
HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
