| We are seeking a detail-oriented Benefit Claims Technician to manage the end-to-end evaluation and adjudication of Group Claims, including Life, Accident, Critical Illness, Long-Term Care, and Disability claims. In this role, you will be responsible for making timely, accurate benefit decisions from initial notification through the duration of the claim, ensuring compliance with internal policies and external regulations. Key responsibilities include determining eligibility, analyzing contracts and medical information, detecting potential fraud, performing financial calculations, and delivering exceptional customer service. Strong critical thinking, independent decision-making, and clear communication (both verbal and written) are essential, as you'll regularly interact with claimants, employers, and medical professionals. This role has a direct impact on customer satisfaction and business performance. |
WHAT WE CAN OFFER YOU:
- Hourly Wage: $20.00 - $25.00, plus annual bonus opportunity.
- 401(k) plan with a 2% company contribution and 6% company match.
- Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.
- 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:
- Evaluates claims thoroughly, using policy provisions and claim facts to make sound, independent recommendations and decisions.
- Maintains professional, ongoing communication with claimants, employers, brokers, vendors, and internal teams throughout the claim lifecycle.
- Assesses financial liability and eligibility using salary data, contract terms, and medical/vocational info.
- Adheres to ERISA and relevant regulations, while maintaining detailed, well-documented claim files and correspondence.
- Delivers high-quality service, adapts to unique customer needs, and stays current on industry changes and internal procedures.
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WHAT YOU'LL BRING:
- Responsible for various Finance queues, follow-up's, payment recoupment, payment overpayment, return and refund checks, and check-run process.
- Able to interpret complex insurance contracts, medical/vocational info, and regulations to make accurate claims decisions.
- Demonstrates strong verbal and written communication skills with a high level of professionalism and customer focus.
- Capable of working independently, meeting deadlines, calculating benefits, managing data and escalating issues appropriately.
- Strong organizational skills, accuracy, and urgency in completing tasks while maintaining consistent attendance and reliability.
- 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 located in the United States or Puerto Rico.
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PREFERRED:
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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. Stay Safe from Job Scams
Mutual of Omaha only accepts applications from mutualofomaha.com/careers. Legitimate communications will come from '@mutualofomaha.com.' We never request sensitive information or extend job offers without conducting interviews. For more details, check our Hiring FAQs. Stay alert for scams and apply securely! Fair Chance Notices #Circa
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Mutual of Omaha
paid holidays, 401(k)
Sep 11, 2025 