Ensures the accurate, prompt and thorough evaluation of claims by analyzing and determining the appropriate action steps needed while adhering to both internal and external regulations and ensuring an industry leading customer experience.
Requires independent decision making on complex claims situations using critical thinking. Claims analysis includes: eligibility determination for benefits based on medical information received, contract analysis, customer service, fraud detection and awareness, financial calculations, interpreting information and adhering to all statutory / governmental regulations. This includes analyzing information received, and determining if additional information is required to make an accurate benefits decision.
Embraces the customer-focused strategy and demonstrates our shared values (Customer Focus, Integrity, Innovation, Accountability, and Collaboration) by providing effective customer service resulting in first request resolution and a positive customer experience.
Interacts, responds and resolves customer claim requests via multiple channels including phone, email and written correspondence. Performs multiple work roles with expanded knowledge and skill sets such as data entry, processing multifaceted transactions and handling customer requests under minimal supervision.
Essential Job Functions:
For inquiries about the position or application process, contact our HR Helpline at 1-800-365-1405.
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 1-800-780-0304. We are available Monday through Friday 7 am to 4:30 pm CST.
Mutual of Omaha and its affiliates are an Equal Opportunity /Affirmative Action Employer, Minorities/Female/Disabled/Veteran
To All Recruitment Agencies: We do not accept unsolicited agency resumes and we are not responsible for any fees related to unsolicited resumes.
|Date Posted||October 10, 2019|
|Date Closes||October 17, 2019|
|Located In||Omaha, NE|
|Job Type||Full-time Employee|