Full-Time

Sr LTD Claims Analyst

Posted on 10/29/2024

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$53.5k - $118.1kAnnually

Mid, Senior

Remote in USA

Category
Insurance
Finance & Banking
Required Skills
Financial analysis
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 (preferred)
  • Fluency in Spanish is highly preferred (preferred)
  • Completion of HIAA, LOMA or ICA courses preferred (preferred)
Responsibilities
  • Contributing to the overall success of departmental objectives by providing timely and accurate support to our client companies and the claims department.
  • Obtain and analyze information in order 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.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC generates revenue primarily through premiums paid by its members and focuses on delivering quality care. The company also invests in health and wellness programs aimed at reducing healthcare costs and improving the health outcomes of its members. With nearly 100 years of experience in the industry, HCSC distinguishes itself from competitors by its commitment to compassion and a focus on innovative solutions that empower people to lead healthier lives.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

1936

Simplify Jobs

Simplify's Take

What believers are saying

  • HCSC's acquisition of Cigna's Medicare businesses enhances its market reach and capabilities.
  • The new Houston office expansion aligns with HCSC's community-first engagement model.
  • HCSC's collaboration with Feeding America addresses social determinants of health.

What critics are saying

  • Integration challenges from Cigna's acquisition may affect service delivery and satisfaction.
  • Houston office expansion could lead to increased operational costs and construction delays.
  • Maternal and Infant Health Initiative in New Mexico may face regulatory hurdles.

What makes HCSC unique

  • HCSC is expanding into the Medicare market with Cigna's acquisition.
  • HCSC is recognized as a top company to work for by Gen Z.
  • HCSC's new Houston office will create local job opportunities and economic growth.

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