At Health Benefits, Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Health Benefits (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs - without compromising benefits - by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities.

　　Job Summary

　　The Claims Analyst is responsible for the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times.

　　Required Job Qualifications:

　　High School diploma or GED equivalentAbility to work in a fast-paced, customer centric and production driven environmentEffective verbal and written communication skillsAbility to work effectively with team members, employees/members, providers, and clientsAbility to use common sense understanding to carry out instructions furnished in oral, written or diagram formFlexible; open to continued process improvementAbility to learn new/proprietary systems, to adapt to various system platforms, and to effectively use MS Excel/Word

　　Preferred Job Qualifications:

　　1 year Health Insurance experienceSelf-Funded Insurance/Benefits and/or TPA experienceKnowledge of medical procedure and diagnosis codingKnowledge of medical terminologyFamiliarity with Summary Plan Documents (SPDs)/Insurance Booklets or other benefit descriptive tools

　　The compensation range for this Claims Analyst role is $14.32 to $26.90. The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.

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

　　EEO Statement:

　　All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability.

　　Pay Transparency Statement:

　　At Health Benefits, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days' of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.

　　The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.

　　Min to Max Range:

　　$14.32 - $26.90