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We are seeking a detail-oriented and customer-focused professional to join our team as a Life Claims Analyst. In this role, you will ensure the accurate, timely, and comprehensive assessment of claims by carefully analyzing documentation, verifying information, and determining appropriate next steps.
You will be responsible for adhering to internal policies, regulatory requirements, and industry standards while delivering an exceptional customer experience. The ideal candidate demonstrates strong analytical skills, sound judgment, and the ability to manage multiple priorities efficiently.
Training will be from 8:00am CST - 4:30pm CST for up to 6 weeks. Following training, you will move to the closing shift, which is 9:00am CST - 5:30pm CST.
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WHAT WE CAN OFFER YOU:
- Hourly Wage: Minimum: $22.25, 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.
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WHAT YOU'LL DO:
- Evaluates and adjudicates complex claims by reviewing medical records, contract language, and supporting documentation to determine accurate and timely payment or denial decisions.
- Processes claim transactions and inquiries by analyzing documentation, keying data accurately, drafting determination letters, and communicating outcomes clearly to internal and external customers.
- Delivers exceptional customer service across multiple channels, resolves escalations, applies service recovery techniques, and builds customer loyalty through clear, compliant communication.
- Ensures compliance and quality standards by adhering to company policies, industry regulations, productivity benchmarks, and making appropriate referrals (e.g., legal, underwriting, investigations) when necessary.
- Contributes to team and process excellence by supporting training and peer development, participating in process improvements, maintaining strong working relationships, and continuously expanding knowledge and skills.
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WHAT YOU’LL BRING:
- Demonstrates accountability and urgency, consistently delivering accurate results while meeting deadlines in a fast-paced environment.
- Adapts quickly to change, shows flexibility, learns new skills readily, and effectively manages multiple tasks and priorities.
- Works independently and collaboratively, building positive relationships while remaining approachable and team-oriented.
- Exhibits strong analytical, organizational, and decision-making skills, with attention to detail and the ability to operate within structured, compliant guidelines.
- Communicates effectively and maintains customer focus, utilizing strong technical skills, handling escalations professionally, and meeting attendance and flexibility requirements.
- 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.
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PREFERRED:
- College degree or work equivalent.
- Insurance product knowledge of Business area.
- Experience with the application of policies, practices and procedures in a business environment.
- Knowledge of medical terminology.
- Presentation skills.
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We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply!
If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status.
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