Claims Operations Specialist

Homesteaders Life Company; West Des Moines (IA); Hybrid; USD 42,000 - 60,000; Full time

Benefits offered by this job

An excellent schedule – office closes

Annual profit sharing

401(k) with company match with...

Company-sponsored group medical and...

Company-paid life insurance

Company-paid long-term disability

Paid holidays

Generous vacation time and sick leave

Paid parental leave

Casual dress year-round

Job summary

Homesteaders Life Company is seeking a Claims Operations Specialist to support end-to-end claims intake, setup, and responsive assistance. You will collaborate with the Claims Care phone team and examiners in a hybrid role, handling mail claims and peak-period support for the Claims Care Phone team.

Requirements include a high school diploma or equivalent (associates or bachelor’s preferred), 1+ years in a claims-focused phone environment, and insurance administration experience; LOMA coursework

Qualifications

• High school diploma or equivalent; associate/bachelor preferred.
• 1+ years in a claims-focused phone environment with customer support.
• Experience in insurance administration or operations preferred.
• LOMA Principles and Operations coursework completed within two years of employment.

Responsibilities

• Establish new claims in the claims system and gather missing documentation.
• Process web claim submissions including setup and payments.
• Monitor and triage incoming claims emails and queues.
• Match incoming requirements to pending claims and prepare files.
• Preview death claims and coordinate with funeral homes for outstanding requirements.
• Resolve routine inquiries and escalate complex issues as needed.
• Maintain organized, compliant claims files.
• Provide support to Claims department and Claims Care Phone team during peak periods.

Skills

Claims support

Phone support

Customer service

Education

High school diploma or equivalent

Associate or Bachelor’s degree preferred

Job description

Description

As a Claims Operations Specialist, you will support the end-to-end claims intake process by managing intake channels, claim set up, and responsive assistance. Your role will include combining advanced administrative expertise with operation support for the claims team. You will work closely with the Claims Care phone team and claims examiners to support ongoing processes and knowledgeable backup. This is a hybrid position that assists with mail claims processing and provides support to the Claims Care phone team during periods of high volumes or as assigned.

Your responsibilities will include:

• Establish new claims in the existing claims system from all incoming sources, determines required documentation and initiates corresponds to obtain missing requirements.
• Processes web claims submissions across platform including set up, required determination, communication, and processing payments following.
• Monitors and triages incoming claims emails and queues, ensuring timely routing, response, and follow-up.
• Matches incoming claims requirements to pending claims, documents receipts, and prepares claim files.
• Previews death claims, follow-up with funeral homes regarding any outstanding requirements or uncashed drafts.
• Resolve routine inquiries and escalates complex issues as needed.
• Maintains organized and compliant claims files, ensuring all documents meet standards.
• Provides additional support to Claims department and Claims Care Phone team calls as needed during periods of high volume.

Requirements

• Equivalent to high school graduation required; an associate or bachelor’s degree is preferred.
• 1+ years of experience working in a claims-focused phone environment, handling inbound calls and providing direct customer support.
• Experience in insurance administration or operations preferred.
• Completion of LOMA courses in Principles and Operations within two years of employment.

Pay and Benefits Summary:

Our benefits include:

• An excellent schedule – office closes at 1 p.m. every Friday
• Annual profit sharing
• 401(k) with company match with discretionary contribution
• Company-sponsored group medical and dental insurance
• Company-paid life insurance
• Company-paid long-term disability
• Paid holidays
• Generous vacation time and sick leave
• Paid parental leave
• Casual dress year-round

About Homesteaders:

Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other.

We are currently hiring in AL, FL, GA, IA, IN, KS, LA, MI, MS, MT, NC, NE, OH, OK, PA, SC, TN, TX, UT, VA, WI, WV

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.