| The role involves evaluating Med Sup claims accurately, promptly, and thoroughly by analyzing and determining the necessary actions. This is done while adhering to internal and external regulations, ensuring a top-tier customer experience |
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WHAT WE CAN OFFER YOU:
- Estimated Hourly Wage: $20.25 - $22.00, 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.
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WHAT YOU'LL DO:
- Accurately assesses complex claims based on medical records, contract language, and additional data, determining appropriate outcomes for both payment and denial.
- Engages with internal and external customers through various channels (calls, email, etc.) to obtain necessary claim details, explain outcomes, and provide exceptional customer service.
- Participates in process enhancements, adheres to company policies, industry regulations, and helps with training and development to improve service quality.
- Works collaboratively with peers and departments, fostering trust through integrity, knowledge-sharing, and effective communication to support team and customer success.
- Meets productivity and quality standards, adapts to changes, and proactively takes action to exceed expectations, ensuring customer loyalty and satisfaction.
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WHAT YOU’LL BRING:
- Accurately reviews complex claims using medical records and contract details to determine appropriate payment or denial.
- Communicates with customers via phone and email to gather claim information, explain decisions, and resolve inquiries.
- Follows company policies and regulations, participates in process improvements, and assists in training and auditing.
- Builds strong relationships with internal and external customers, supporting peers and maintaining customer trust through integrity.
- Meets productivity and quality standards while adapting to changes and actively pursuing self-development opportunities.
- 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.
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PREFERRED:
- Current working knowledge and experience working in med sup claims.
- Insurance product knowledge within business area.
- Knowledge of medical terminology.
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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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