Long Term Care Benefit Claim Specialist - Remote

WHAT WE CAN OFFER YOU:

• Hourly Wage: Minimum: $22.50 - $25.00, plus annual bonus opportunity.
• Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match.
• Regular associates working 40 hours a week can earn up to 15 days of vacation each year.
• Regular associates receive 11 paid holidays in 2024, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion.
• Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2024, which is prorated based on the start date. Additionally you will receive two floating holidays in 2024 by way of personal time that may be used at your discretion.
• Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.

WHAT YOU'LL DO:

• Collaborates with management to make informed decisions throughout the claim lifecycle, ensuring thorough evaluation and action planning based on claim facts.
• Maintains comprehensive case files that reflect decision-making aligned with documented procedures and customer expectations.
• Builds strong professional relationships and communicates effectively with claimants, brokers, and internal teams to uphold customer service values.
• Ensures clear documentation of all actions and rationales for easy review and understanding of the claims process.
• Regularly reviews claim liability, coordinates with various stakeholders, determines eligibility, and communicates changes in claim status while adhering to relevant regulations.

WHAT YOU’LL BRING:

• Develops foundational skills in analyzing and interpreting insurance provisions and contracts while applying relevant regulations to claims.
• Provides strong customer service through effective written and verbal communication.
• Calculates disability benefits based on contract provisions and manages offsets while utilizing various software applications (e.g., Word, Excel).
• Exhibits good organizational skills and attention to detail, demonstrating an ability to work independently and meet deadlines.
• Enhances independent decision-making and critical thinking skills, with a basic understanding of medical terminology and a focus on fair treatment of claims for financial accuracy and customer satisfaction.
• 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 in a listed location.

PREFERRED:

• Long Term Care Claims processing and claim file development skills
• College degree or equivalent industry experience

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.

#Circa