Benefit Claim Technician - Omaha, NE or Chattanooga, TN

Mutual of Omaha; Tennessee; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented claims evaluator to join their dynamic team. In this role, you will independently assess claims, ensuring sound decisions based on policy provisions. Your strong analytical skills and ability to communicate effectively will help maintain high standards of customer service. This position offers a supportive work environment that values diversity and innovation, along with a competitive hourly wage and benefits. If you're ready to make a meaningful impact in the insurance industry, this opportunity is for you!

Benefits

401(k) plan with company contribution

Work-life balance with vacation

Paid holidays

Qualifications

• Strong analytical skills to interpret complex insurance contracts.
• Excellent written and verbal communication skills for customer service.

Responsibilities

• Evaluate claims by gathering and analyzing relevant information.
• Ensure accurate financial determinations and eligibility assessments.

Skills

Analytical Skills

Communication Skills

Attention to Detail

Organizational Skills

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