Claim Specialist for Mutual of Omaha

The Job —  Claim Specialist for Mutual of OmahaTeacher Tools

Location —  Telecommute available

Job Responsibilities —  From the company job posting:

  • Analyzes, evaluates, investigates, and makes critical determinations in accordance with policy provisions and government regulations; exercising limited discretion in the application of rules, and procedures for claim handling and determinations. May initiate payment or denial of disability claims according to policy provisions and procedures.
  • Adheres to the Supervisor Review process that has been established.
  • Ensures objectives are met and performs quality reviews as required, and performs issue resolution with analysts and employers.
  • Establishes and promotes best practice claims management processes, and actively engages in networking with internal and external business partners.  Facilitates/participates in team meetings and conference calls.
  • Communicates process changes and compliance issues to new staff.
  • Communicates with external and internal customers regarding specific claim information and department policies and procedures. May provide various  reports to internal and/or external customers.
  • May assist in the work direction of day-to-day activities or act as a back-up for the Supervisor position. Participates in training, coaching, reauditing and performance appraisal processes.
  • Remains current on Company and industry changes, federal and state legislation and regulations, as well as changes in internal processes and procedures.
  • Identifies and eliminates waste in processes that will result in focused effort on value add service to the customer.  Participates in innovative and creative wasy to sustain process change.
  • This position requires extensive or prolonged typing/keyboarding.

Requirements/Qualifications

  • Disability claim processing experience (2 or more years required).
  • Proven leadership and/or mentoring experience.
  • Demonstrated experience with the application of policies, practices, and procedures in a business environment.
  • Strong knowledge/skill in presentation, electronic mail, data entry, plus PC knowledge to include various software packages e.g. Word, Excel.
  • Excellent organizational skills, attention to detail with a high degree of accuracy, and the ability to work somewhat independently and apply a sense of urgency.
  • Ability to meet deadlines under pressure, and realize when to escalate an issue.
  • Strong analytical and decision making skills
  • Ability to travel as needed
  • Ability to be flexible and adapt to a changing environment

Schedule —  Full time, flexible

Employee or Contract — Employee

Compensation — Not advertised.  Click here for salary reviews from Glassdoor.

Benefits — Yes, click here for benefits overview.

More Information — Review and apply at the Mutual of Omaha job page.