Special Risk Claim Analyst - Omaha, NE

Mutual of Omaha; Omaha (NE); Hybrid; USD 28,000 - 29,000; Full time

Benefits offered by this job

Bonus opportunity

401(k) plan with company match

Vacation and holidays

Job summary

Mutual of Omaha is hiring a Special Risk Claim Analyst to handle participant accident claims for college athletes, focusing on review, analysis, investigation, and determination of benefits.

You will perform accurate data entry, imaging and system updates related to claims, policy, eligibility and correspondence to support claim setup. Hybrid work in Omaha, NE is offered.

Qualifications

• Exceptional attention to detail with the ability to analyze complex information and ensure accurate claim processing.
• Proficient with word processing, spreadsheets, email, and presentations.
• Ability to prioritize competing responsibilities in a fast-paced environment.
• Ability to work independently, exercise sound judgment, and make informed decisions.
• Adaptability and resilience handling complex claims requiring flexibility and problem-solving.
• Promotes collaborative culture and values diverse ideas and opinions.
• Willingness to work in a hybrid office in Omaha, NE.

Responsibilities

• Manage Claims: thorough reviews and analyses to determine benefits guided by policy provisions and regulations.
• Resolve and Execute Claims: initiate payments or denials through claims system according to policy guidelines.
• Adjust and Update: handle routine or manual adjustments to claims with accuracy.
• Stay Informed and Inform: keep up-to-date with industry changes, regulations, and internal processes.
• Drive Quality and Efficiency: meet productivity and quality standards and drive process improvements.

Skills

Attention to detail

Analytical skills

Data entry

Tech savvy

Prioritization

Independent work

Collaboration

Job description

Mutual of Omaha is hiring for a Special Risk Claim Analyst position. In this role, you will be responsible for handling participant accident claims for college athletes, focusing on the thorough review, analysis, investigation, and determination of benefits. You will be required to perform accurate data entry, imaging and system updates related to claims, policy, eligibility and correspondence to support proper claim set up.

In this role you will also actively analyze various documents, including diagnosis codes, and gather extensive information, often secondary to initial insurance assessments. The ability to organize meticulously and pay close attention to detail is crucial. Each claim presents a unique challenge, necessitating strong communication skills and the capacity to collaborate both internally and externally to ensure timely and accurate claim processing. This role demands a proactive approach to managing a diverse workload and delivering precise results.

WHAT WE CAN OFFER YOU:

• Hourly Wage: $20.50 - $21.00, plus annual bonus opportunity.
• 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:

• Manage Claims: You will delve into claims, conducting thorough reviews and analyses to determine benefits. Your work will be guided by policy provisions and government regulations, where you'll apply rules and procedures with precision and limited discretion.
• Resolve and Execute Claims: Once all questions related to a claim are resolved, you'll be responsible for initiating payments or denials through our claims system, adhering strictly to our policy guidelines.
• Adjust and Update: You may also handle routine or manual adjustments to claims, ensuring accuracy and attention to detail.
• Stay Informed and Inform: Keep up-to-date with industry changes, federal and state regulations, and internal process adjustments.
• Drive Quality and Efficiency: Achieve and exceed predetermined productivity and quality standards, contributing actively to our continuous improvement initiatives by identifying and implementing process enhancements.
  

WHAT YOU’LL BRING:

• Exceptional attention to detail with the ability to analyze complex information, identify discrepancies, and ensure accurate claim processing.
• Tech Savvy: Comfortable using various software for word processing, spreadsheets, email, and presentations.
• Proven ability to prioritize competing responsibilities, manage a diverse workload, and meet deadlines in a fast-paced environment.
• Demonstrated ability to work independently, exercise sound judgment, and make informed decisions with minimal supervision.
• Adaptability and resilience when managing complex claims that require flexibility, investigation, and creative problem-solving.
• You promote a collaborative culture, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
• Able to work at our office located in Omaha, NE, in a hybrid environment.
  

PREFERRED:

• Medical claims processing, healthcare administration, insurance claims, or medical customer service experience preferred
  

We value unique experience, skills, and passion for innovation.

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.