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Supplemental Health Claim Analyst jobs in United States
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Mutual of Omaha · 12 hours ago

Supplemental Health Claim Analyst

Mutual of Omaha is seeking a dedicated Phone Claims Analyst to join their Cancer Hospital Claims Department. In this role, you will evaluate claims accurately and timely while ensuring compliance with regulations and delivering exceptional customer service through effective communication.
FinanceProperty & Casualty InsuranceHealth InsuranceAuto InsuranceCommercial InsuranceFinancial ServicesInsuranceLife InsuranceProperty Insurance
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Responsibilities

You’ll accurately determine claim benefits payable based on medical information and contract language in a timely manner, whilst ensuring all information conforms to established policies and procedures and ensure that provider data adheres to Corporate guidelines for file integrity and reporting purposes while maintaining production, quality and time service standards
You’ll communicate with external and internal customers to obtain specific claim information in order to finalize claims and to explain claim handling, whilst meeting and exceeding customer expectations and cultivating relationships that secure commitment and trust
You’ll provide effective customer service via multiple channels such as phone (to include inbound and outbound calls), written/email correspondence, etc. Performs service recovery techniques to resolve requests. Provides compliant and easily understood resolution options with the desired outcome of creating a positive customer experience. Utilizes resources to support service delivery resulting in retaining and/or growing the business
You’ll be identifying and understanding problems and opportunities by gathering, analyzing, and interpreting information; choosing the best course of action by establishing clear decision criteria, generating, and evaluating alternatives, and making timely decisions; taking action that is consistent with available facts and constraints and optimizes probable consequences

Qualification

Analytical skillsCustomer serviceMicrosoft productsInsurance knowledgeMedical terminologyTime managementCommunication skillsTeam collaborationAttention to detail

Required

Shows a sense of urgency and is accountable for work results
Effective time management and organizational skills with an attention to detail and analytical and decision-making abilities
Ability to work independently, and/or as part of a team, in a collaborative environment and is approachable
Effective oral, written and interpersonal communication skills, sound judgment and the ability to think within a structured and compliant work environment while focusing on the customer
Working understanding of computer systems such as email, data entry, and Microsoft products, with proficient keyboarding skills
Ability to assess and understand the needs of the customer and demonstrates flexibility in customizing approach and response to resolve requests in a respectful and timely manner
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

Preferred

Insurance product knowledge and experience
Knowledge of medical terminology

Benefits

401(k) plan with a 2% company contribution and 6% company match.
Work-life balance with vacation, personal time and paid holidays.

Company

Mutual of Omaha

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Mutual Of Omaha is a mutual insurance and financial services company helping clients achieve their financial goals.

Funding

Current Stage
Late Stage

Leadership Team

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James Blackledge
CEO
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David A. Diamond
EVP, CFO and Treasurer (Retired)
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Company data provided by crunchbase