Claims Analyst - STD Short Term Disability

Blue Cross Blue Shield of Texas

Houston, TX, USA

Full time

Healthcare / Insurance

Nov 4

This job is no longer accepting applications.

Under general supervision in a fast paced environment for Dearborn Life Insurance Company (a subsidiary of Health Care Service Corporation, a mutual legal reserve company), this position examines and processes short term disability claims. Provides timely and accurate support to claimants, policyholders, and the claims department. Manages appropriate adjudication of short-term disability claims in accordance with policy provisions. Initiates and facilitates case management and other ancillary services to assure optimum outcomes.

Required Qualifications: 

*1 year of experience in managing Disability claims.

*Excellent customer service skills.

*Excellent math and calculation skills.

*Good decision making skills

*Able to analyze complex claim information.

*Verbal and written communication skills.

*Working knowledge of Microsoft Excel, Word, PPT, Office 365, Share point, Outlook.

*Detail oriented with ability to maintain high level of quality and accuracy while meeting productivity targets in a fast paced environment- *Knowledge of medical terminology.


Preferred Job Qualifications:

*Short Term Disability experience - eligibility review, policy definition, medical review, coverage history, preexisting review, research, etc.

*BA/BS degree

*Bilingual Spanish

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Blue Cross Blue Shield of Texas

Blue Cross and Blue Shield of Texas, a division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blu...