Mutual of Omaha (Insurance)

Special Risk Claim Analyst/Sr Omaha, NE or Remote

Job Description

Special Risk Claim Analyst/Sr – Omaha, NE or Remote Job no: Work type: Full Time Regular Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Washington, West Virginia, Wisconsin, Wyoming, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii Categories: Claims/Claims Processing, Remote Work Mutual of Omaha is looking to add two Claims Analysts to our Special Risk Claims team. This role will be handling claims in a timely manner by reviewing, analyzing, investigating and determining benefits. Also handles the larger, or more complex, claims beyond the authorization limits of the Associate Claim Analyst. WHAT YOU’LL DO: * Reviews, analyzes, evaluates, investigates and determines benefits for larger dollar or more complex claims in accordance with policy provisions and government regulations; exercising limited discretion in the application of rules, and procedures for claim handling. * Initiates payment or denial of claims via the claims system when all claim-related questions are resolved, according to policy provisions. * Communicates with external and internal customers to obtain specific claim information in order to finalize pending claims and to explain claim handling. * May handle manual or more routine adjustments to claims. * Remains abreast of Company and industry changes, federal and state legislation and regulations, as well as changes in internal processes and procedures. * May provide various reports to internal and external customers. * Must meet predetermined productivity and quality standards. * Actively participates in the identification and implementation of process improvements. This job posting is reflective of the Special Risk Claims Analyst essential functions, qualifications, and physical requirements. The Senior level has variable essential functions, qualifications and physical requirements. Competency and skill set will determine level of placement within the posted job family. ABOUT YOU: * You help promote a culture of diversity and inclusion within the department and the larger organization. You value different ideas and opinions. You listen courageously and remain curious in all that you do. * You are able to work remotely and have access to high-speed internet. * Experience with the application of policies, practices, and procedures in a business environment * Working knowledge of corporate products and government regulations regarding claim handling * Personal computer operation with skills in various software applications such as word processing, spreadsheet, electronic mail and presentation * Strong organizational skills, attention to detail with high degree of accuracy, and the ability to work somewhat independently * Ability to meet deadlines under pressure * Good analytical and decision making skills * Good verbal and written communication skills * May require ability to travel occasionally * Ability to maintain regular and predictable attendance in adherence to department and company attendance expectations VALUABLE EXPERIENCE: * Knowledge of medical terminology. WHAT WE CAN OFFER YOU: * A diverse workplace where associates feel a sense of belonging. * An organization that feels like a small, close-knit community and has the strength of a Fortune 500 company. * Tuition reimbursement, training and career development. * Comprehensive benefits plan that includes medical, dental, vision, disability and life insurance. * Flexible spending accounts for healthcare and childcare needs. * 401(k) plan with a 2% company contribution and 6% company match. * Competitive pay with an opportunity for incentives for all associates. * Flexible work schedules with a healthy amount of paid time off. * For more information regarding available benefits, please visit our Career Site. * Pay range $19.11-$29.81 * Pay commensurate with experience. MUTUAL OF OMAHA: Mutual of Omaha serves more than 4.8 million individual product customers and 39,000 employer groups. Our legacy of stability creates an environment where every associate is encouraged to experiment, innovate and grow in their own unique career path. From day one, you’ll have the tools to be your best self at work. Here you’ll do meaningful work and your talents will have a positive impact on peoples’ lives as we help our customers protect what they care about and achieve their financial goals. Each associate is a unique contributor to creating a diverse, dynamic, thriving and inclusive workplace. We want you to become engaged feel a sense of belonging and contribute to the company’s exceptional future. Join forces with a company that can AMPLIFY YOUR STRENGTHS AND EMPOWER YOUR CAREER. For inquiries about the position or application process, contact our HR Helpline at 1-. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at 1-. We are available Monday through Friday 7 am to 4:30 pm CST we will reply within 24 hours. Mutual of Omaha and its affiliates are an Equal Opportunity /Affirmative Action Employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. To All Recruitment Agencies: We do not accept unsolicited agency resumes and we are not responsible for any fees related to unsolicited resumes. Advertised: Jun 3, 2021 09:00 AM Central Daylight Time Applications close: Jun 17, 2021 11:55 PM Central Daylight Time to search results

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Job Summary

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Washington, West Virginia Location
Permanent Job Type
Mutual of Omaha (Insurance)