Mutual of Omaha Careers

Hospital Indemnity Claims Analyst

Apply now Job no: 504652
Work type: Full Time Regular
Location: Remote
Categories: Claims/Claims Processing

Reviews and evaluates Medicare Supplement claims to ensure accurate, timely, and thorough processing. Analyzes claim information to determine appropriate next steps while ensuring compliance with internal policies and regulatory requirements and delivering a high-quality customer experience.

WHAT WE CAN OFFER YOU:

  • Hourly Wage: $21.25, 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. 

WHAT YOU'LL DO:

  • Evaluate and process complex Medicare Supplement claims by reviewing medical records, contract language, and supporting documentation to determine accurate payment or denial decisions.     
  • Analyze claim information, process transactions, and communicate with internal and external customers to obtain details, resolve inquiries, and finalize claims.    
  • Deliver high-quality customer service across phone, email, and written correspondence while resolving issues and creating clear explanations of claim determinations.    
  • Ensure compliance with company policies, regulatory requirements, and department standards while identifying potential referrals (e.g., legal, underwriting, special investigations).    
  • Contribute to team success through knowledge sharing, training support, process improvement initiatives, and maintaining strong relationships with customers and colleagues.

WHAT YOU’LL BRING:

  • Current working knowledge within Hospital Indemnity and Hospital Indemnity product knowledge.
  • Current working experience Hospital Indemnity call center skills    
  • Current experience within the Hospital Indemnity business area/acumen, with the ability to work independently and collaboratively while maintaining a positive, team-oriented approach.    
  • Strong analytical, organizational, and decision-making skills with close attention to detail.    
  • Excellent communication and customer service skills, with proficiency in common computer systems and the ability to manage complex or escalated situations.     
  • 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.

PREFERRED:

  • Experience with the application of policies, practices and procedures in a business environment.
  • Knowledge of medical terminology.

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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Advertised: Central Daylight Time
Applications close: Central Daylight Time

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