Sr Claims Analyst - LHB

Health Care Service Corporation

Job Overview

Location

Work From Home (HB)

Job Type

Full-time

Full Job Description

📋 Description

• Analyze and process medical, dental, vision, and related claims with accuracy and adherence to policy and regulatory guidelines
• Serve as a liaison between claim units, vendor staff, and internal departments to ensure timely resolution
• Calculate benefit payments and communicate claim decisions for new and continuing claims
• Provide responsive customer service to providers, clients, and internal teams
• Maintain claim processing procedures and advise team members on best practices
• Utilize MS Excel and Word for documentation, reporting, and data analysis
• Adapt to various system platforms and support continuous process improvements
• Work effectively in a fast-paced, customer-centric, production-driven environment
• Demonstrate critical thinking and problem-solving skills in claim adjudication

🎯 Requirements

• High school diploma or GED equivalent
• 3 years of prior medical claim processing experience
• Excellent verbal and written communication skills

🏖️ Benefits

• Health and wellness benefits
• 401(k) savings plan
• Paid time off and paid parental leave
• Disability and supplemental life insurance
• Employee assistance program
• Paid holidays and tuition reimbursement

Skills & Technologies

Senior

Remote

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Health Care Service Corporation

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About Health Care Service Corporation

Health Care Service Corporation is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. It provides medical, dental, vision, life, and disability coverage to nearly 17 million members through individual, employer, and government programs. The company emphasizes community health investments, digital services, and value-based care initiatives. Founded in 1936 and headquartered in Chicago, HCSC is licensed as a mutual legal reserve company and governed by its policyholders.

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