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OneAmerica Financial · 19 hours ago

Claims Associate - Long Term Care

South Portland, ME

Full-time

Hybrid

Entry Level

1+ years exp

OneAmerica Financial is committed to creating certainty for its customers, and they are seeking a Long-Term Care Claims Associate to manage claims effectively. The role involves adjudicating claims, analyzing documentation, and engaging with providers and families to ensure a fair claims process.

BankingCrowdfundingEducationFinancial Services

H1B Sponsor Likely

Responsibilities

Independently adjudicate a broader range of claims, including some with complex documentation or benefit triggers

Analyze provider and care documentation to determine ongoing eligibility

Engage with providers and families to resolve issues or obtain information

Mentoring or supporting of Level 1 associates

Identify potential red flags or inconsistencies for clinical or risk escalation

Taking incoming calls and making outbound calls throughout the claim process

Must meet/maintain procedural accuracy requirements

Qualification

LTC claims experienceLong-term care knowledgeCase managementEmpathyMentoring

Required

High School Diploma or equivalent

1+ years of LTC claims or related experience

Intermediate knowledge of long-term care services and terminology

Demonstrated ability to manage multiple cases with accuracy and empathy

Preferred

Bachelor's Degree

Company

OneAmerica Financial

Glassdoor3.6

OneAmerica Financial® is a national financial services organization helping people build greater certainty for better moments, every day.

Founded in 1877

Indianapolis, Indiana, USA

1001-5000 employees

http://oneamerica.com

H1B Sponsorship

OneAmerica Financial has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (7)

2022 (7)