at Dearborn National Life Insurance in Portland, Maine, 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
This position is responsible for administrative claim setup as well as initial claim review including but not limited to eligibility, determine coverage amounts, policy requirement and payment procedures. Editing member data in the billing systems. Responding promptly to inquiries from internal and external customers.
Responsibilities
JOB REQUIREMENTS:
* High School Diploma OR GED and 3 years of claims experience OR Bachelor degree and 1 year of claims experience
* Customer Service experience
* Organizational skills
* Ability to handle multiples tasks at once
* Knowledge of state regulations, statutes, and ERISA
* Clear and concise verbal and written communication skills
* PC proficiency in Word, Excel, PowerPoint, Lotus Notes
PREFERRED JOB REQUIREMENTS:
* Knowledge of ECM, STAR (Claim System), Genelco/GIAS, Siebel, UTS, Casetrak, Docsql, Benefits Manager, ImagePlus, and Index Assist Tool
* Aptitude for math and critical thinking skills
* Knowledge of state regulations, statutes, and ERISA
* Detailed oriented
*Data Entry
#DBCA
#LI-CH2
#LI-HYBRID
We encourage people of all backgrounds and experiences to apply.
Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.
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.
BCBSTX complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
