Senior Supplemental Health Claims Expert (Remote)

Pacific Life; Omaha (NE); Remote; USD 69,000 - 85,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with company match

Generous paid time off

Job summary

Pacific Life Insurance Company is seeking a Senior Supplemental Health Claims Specialist to administer complex supplemental health and voluntary benefits claims. The role supports a team in the Workforce Benefits Division, with on-site Omaha, NE or remote work option in Tennessee.

You will adjudicate claims, refine workflows, and mentor colleagues to ensure compliant, timely results. The position requires 5+ years of supplemental health experience, strong communication, analytical, and

Qualifications

• College degree or equivalent experience preferred.
• 5+ years of Supplemental Health experience preferred.
• Strong communication skills, both written and verbal.
• Analytical mindset with attention to detail and integrity.
• Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

• Serve as subject matter expert in supplemental health claims administration.
• Adjudicate claims with timely and fair liability determinations.
• Maintain service standards across a varied caseload.
• Refine claims workflows and documentation to align with system capabilities.
• Train and mentor team members and collaborate with cross-functional groups.

Skills

Effective communication

Analytical skills

Time management

Organizational skills

Detail-oriented

Problem-solving

Education

Bachelor's degree or equivalent experience

Tools

Claims administration system

Workflow tools

Job description

Pacific Life Insurance Company is seeking a Senior Supplemental Health Claims Specialist to administer complex supplemental health and voluntary benefits claims. The role supports a team in the Workforce Benefits Division, with on-site Omaha, NE or remote work option in Tennessee.

You will adjudicate claims, refine workflows, and mentor colleagues to ensure compliant, timely results. The position requires 5+ years of supplemental health experience, strong communication, analytical, and