Benefit Claim Technician - Omaha, NE or Chattanooga, TN

Mutual of Omaha; Omaha (NE); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented claims evaluator to join their team. In this role, you will independently assess claims, ensuring accurate financial determinations and maintaining high standards of customer service. Your strong analytical skills will help you interpret complex insurance contracts and provide timely updates to claimants. This position offers a supportive work environment that values diversity and inclusion, allowing you to thrive while making a meaningful impact in the lives of others. If you are passionate about delivering exceptional service and have a knack for problem-solving, this opportunity is perfect for you.

Benefits

401(k) plan with company contribution

Work-life balance

Paid holidays

Personal time off

Qualifications

• Ability to interpret complex insurance contracts and apply regulatory knowledge.
• Strong organizational skills to manage priorities and meet deadlines.

Responsibilities

• Evaluate claims by gathering and analyzing relevant information.
• Maintain professional communication with claimants and internal teams.
• Provide timely updates and clear explanations to claimants.

Skills

Analytical Skills

Written Communication

Verbal Communication

Attention to Detail

Customer Service

Job description

WHAT WE CAN OFFER YOU:

• Hourly Wage:Minimum: $20.00 MidPoint: $24.25 Maximum: $28.50, plus annual bonus opportunity,ORplus 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.

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