Claim Analyst II

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 October 3rd!!

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: $20.75, plus annual bonus opportunity
• 401(k) plan with a 2% company contribution and 6% company match.
• Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.
• 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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