Benefit Claim Technician - Omaha, NE or Chattanooga, TN

Mutual of Omaha; Fort Wayne (IN); Remote; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking company where you can utilize your analytical skills to evaluate claims effectively. This role offers the opportunity to build strong relationships while ensuring accurate financial determinations and eligibility assessments. You'll be part of a team that values diversity and inclusion, providing professional customer service in a supportive environment. With a focus on work-life balance, this position allows for remote work, making it an excellent fit for those seeking flexibility. If you are passionate about innovation and ready to make a difference, we encourage you to apply!

Benefits

401(k) plan with company contribution

Work-life balance with vacation and personal time

Paid holidays

Qualifications

• Strong analytical skills to interpret insurance contracts and data.
• Excellent communication skills for professional customer service.

Responsibilities

• Evaluates claims by gathering and analyzing relevant information.
• Maintains professional communication with claimants and internal teams.

Skills

Analytical Skills

Written Communication

Verbal Communication

Attention to Detail

Adaptability

Job description

WHAT WE CAN OFFER YOU: Hourly Wage: Minimum: $20.00 MidPoint: $24.25 Maximum: $28.50, plus annual bonus opportunity, OR plus incentive plan. [If your role is hourly with a set pay, use this bullet. Leave bullet at the top; Remove ',plus annual bonus' OR 'plus incentive p 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: Independently evaluates claims by gathering and analyzing relevant information to make sound, well-documented decisions based on policy provisions and procedures. Maintains professional communication and builds strong relationships with claimants, employers, brokers, vendors, and internal teams (e.g., legal, underwriting). Ensures accurate financial determinations and eligibility assessments using salary data, contract terms, and medical/vocational documentation. Provides timely updates and clear written explanations to claimants and policyholders, maintaining high standards of customer service and compliance with ERISA and other regulations. Stays current with industry trends, legal requirements, and internal process changes to ensure accurate and efficient claims handling.

WHAT YOU'LL BRING: Strong analytical skills with the ability to interpret complex insurance contracts, medical/vocational data, and apply regulatory knowledge to claims decisions. Excellent written and verbal communication skills, delivering professional and empathetic customer service. Proficient in calculating benefits from basic to complex levels using policy provisions and supporting documentation. Highly organized with strong attention to detail, able to meet deadlines, manage priorities, and transition toward independent decision-making. Adaptable to change, with the ability to handle difficult situations calmly, escalate issues appropriately, and work effectively with various systems and tools. 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: Accident, Critical Illness and/or Hospital claims experience

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 [e-mail]. Please allow at least one week from time of applying if you are checking on the status. Stay Safe from Job Scams Mutual of Omaha only accepts applications from mutualofomaha.com/careers. Legitimate communications will come from '@mutualofomaha.com.' We never request sensitive information or extend job offers without conducting interviews. For more details, check our Hiring FAQs. Stay alert for scams and apply securely! Fair Chance Notices #Circa