Claims Intake Specialist

Dearborn GroupLombard, Illinois, United StatesOnsite

At Dearborn, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

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, group contacts and preferences and payment procedures. Editing member data in the billing systems. Responding promptly to inquiries from internal and external customers.

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 NotesPREFERRED 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

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Dearborn Group Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$17.20 - $27.15

Life at Dearborn Group

Dearborn Group is the trade name for Dearborn Life Insurance Company. Since 1969, we have partnered with more than 25 Blue plans and have been providing ancillary benefits to employer groups across the country. As the ancillary subsidiary of Health Care Service Corporation (HCSC), we kicked off a multiyear business transformation in 2019 to sell and service our ancillary products under the Blue Cross and Blue Shield brand in Illinois, Montana, New Mexico, Oklahoma, and Texas. We are proud to be able to brand our products Blue, and we are excited to offer this capability with other Blue plans. This gives us the flexibility to compete with national and commercial carriers by executing and leveraging on the promise of the Blue brand. When combined with Blue medical coverage, our suite of employer-paid and voluntary insurance solutionsâ€”life, short- and long-term disability, vision, critical illness and accident insuranceâ€”creates a comprehensive benefits package and gives employers, their employees, and their families complete peace of mind.