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Life Claim Analyst - Remote

Remote

As a Life Claims Analyst you will be responsible for ensuring accurate and prompt evaluations of claims by analyzing and determining the appropriate action steps needed while adhering to both internal and external regulation and ensuring an industry leading customer experience. You will work on a team that embraces a customer-focused strategy and demonstrates our shared values.

Classes begin February 7th!!  

Training hours for the position will be 8:00-4:30 CST, Monday through Friday for 3 weeks. Following training the hours will be 9:00am - 5:30pm CST, Monday thru Thursday and 8:30am - 5:00pm CST on Friday.

WHAT WE CAN OFFER YOU:

  • Hourly Wage: $20.25, plus annual bonus opportunity.
  • Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match.
  • Regular associates working 40 hours a week can earn up to 15 days of vacation each year.
  • Regular associates receive 11 paid holidays in 2025, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion.
  • Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2025, which is prorated based on the start date. Additionally you will receive two floating holidays in 2025 by way of personal time that may be used at your discretion.
  • Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.

WHAT YOU'LL DO:

  • Determines complex claim benefits based on medical records and contract language, ensuring timely decisions for both payment and denial.
  • Analyzes and processes complex claims, communicates effectively with external and internal customers, and finalizes claims while explaining handling procedures.
  • Provides effective customer service through various channels, using expanded knowledge and resources to resolve inquiries and perform service recovery techniques.
  • Meets/exceeds department standards for attendance, productivity, and quality, while actively participating in daily management, contributing insights for process improvements and supporting service delivery enhancements.
  • Engages in self-development, stays informed about industry changes, and adheres to company processes and regulations, while building and maintaining effective working relationships.

WHAT YOU’LL BRING:

  • Shows a strong sense of urgency and accountability for work results.
  • Demonstrates the ability to adapt to a diverse and changing work environment, showcasing a willingness to learn new skills and the capacity to multitask.
  • Exhibits the ability to work independently or as part of a team, fostering a collaborative environment and approachability.
  • Displays effective time management and organizational skills, paying attention to detail, and possessing strong analytical and decision-making abilities.
  • Possesses strong oral, written, and interpersonal communication skills, showing sound judgment within a structured and compliant work environment. Understands customer needs, with the flexibility to customize approaches and resolve requests respectfully and promptly.
  • You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
  • Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.

PREFERRED:

  • Bilingual - English/Spanish
  • Insurance product knowledge of business area.
  • Knowledge of medical terminology.
  • Presentation skills.

We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! 

If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status.

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Job Profile

Restrictions

Located in the United States or Puerto Rico Must be located in the US or Puerto Rico No sponsorship for employment

Benefits/Perks

11 paid holidays 401(k) Plan Annual bonus opportunity Company contribution Company match Floating Holidays Paid holidays Personal time Sick Leave Vacation days

Tasks
  • Analyze medical records
  • Communicate with customers
  • Evaluate claims
  • Process claims
  • Provide customer service
  • Support process improvements
Skills

Analytical Attention to detail Claims analysis Communication Customer Experience Customer service Decision making Diversity and Inclusion Flexibility Innovation Insurance Interpersonal Medical terminology Multitasking Organizational Presentation Process Improvement Talent Acquisition Team Collaboration Time Management Training

Education

Business

Timezones

UTC-6