Mutual of Omaha · 2 hours ago

Life Claim Analyst - Remote

United States

Full-time

Remote

Entry Level

$20.25/hr - $20.25/hr

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Responsibilities

Determines complex claim benefits based on medical records and contract language, ensuring timely decisions for both payment and denial.

Analyzes and processes complex claims, communicates effectively with external and internal customers, and finalizes claims while explaining handling procedures.

Provides effective customer service through various channels, using expanded knowledge and resources to resolve inquiries and perform service recovery techniques.

Meets/exceeds department standards for attendance, productivity, and quality, while actively participating in daily management, contributing insights for process improvements and supporting service delivery enhancements.

Engages in self-development, stays informed about industry changes, and adheres to company processes and regulations, while building and maintaining effective working relationships.

Qualification

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Claims AnalysisBilingual - English/SpanishMedical TerminologyInsurance Product Knowledge

Required

Shows a strong sense of urgency and accountability for work results.

Demonstrates the ability to adapt to a diverse and changing work environment, showcasing a willingness to learn new skills and the capacity to multitask.

Exhibits the ability to work independently or as part of a team, fostering a collaborative environment and approachability.

Displays effective time management and organizational skills, paying attention to detail, and possessing strong analytical and decision-making abilities.

Possesses strong oral, written, and interpersonal communication skills, showing sound judgment within a structured and compliant work environment. Understands customer needs, with the flexibility to customize approaches and resolve requests respectfully and promptly.

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.