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Location: Various Locations
Work Type: Full Time Regular
Job No: 502507
Categories: Customer Service, Claims/Claims Processing
Application Closes: Open Until Filled
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 2nd!
WHAT WE CAN OFFER YOU:
- Hourly Wage: Starting at $20.00/hour, plus annual bonus opportunity.
- 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 9 paid holidays in 2023.
- Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 56 hours of personal time in 2023, prorated based on the start date.
WHAT YOU'LL DO:
Accurately determines complex claim benefits payable based on medical records, contract language and any additional information needed to reach the appropriate decision in a timely manner by analyzing claims documentation and correspondence. This includes both payment and denial of benefits.-
Communicates with external and internal customers to obtain specific claim information in order to finalize claims and to explain claim handling. Provides effective customer service via multiple channels on the phone (to include inbound and outbound calls), written/email, correspondence, etc. Performs service recovery techniques to resolve requests. Provides compliant and easily understood resolution options with the desired outcome of creating a positive customer experience. Utilizes resources to support service delivery resulting in retaining and/or growing the business.
- Meets and/or exceeds department standards related to attendance, productivity and quality
Makes appropriate referrals to legal, underwriting and special investigations as needed.
Creates written letters to provide concise explanations to customers regarding claim determinations. - Stays abreast of and adheres to Company processes and procedures, industry changes, federal and state legislation and regulations.
WHAT YOU’LL BRING:
- Demonstrated ability to adapt to a diverse and changing work environment. Willingness to learn new skills with the ability to multi-task.
- Ability to work independently, and/or as part of a team, in a collaborative environment and is approachable.
- Effective time management and organizational skills with an attention to detail and strong analytical and decision-making abilities.
- Strong oral, written and interpersonal communication skills, sound judgment and the ability to think within a structured and compliant work environment while focusing on the customer.
- Demonstrated understanding of computer systems such as email, data entry, and Microsoft products, with proficient keyboarding skills.
- Demonstrated ability to assess and understand the needs of the customer and demonstrates flexibility in customizing approach and response to resolve requests in a respectful and timely manner.
- 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.
VALUABLE EXPERIENCE:
- College degree or work equivalent.
- Insurance product knowledge of Business area.
- Experience with the application of policies, practices and procedures in a business environment.
We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply!
After applying, for inquiries about your application or the hiring process, please email our Talent Acquisition area at careers@mutualofomaha.com.
Help: 800-365-1405
