| Join our Medicare Supplement DPET team and play a vital role in delivering industry-leading service. This position ensures the accurate, prompt, and thorough evaluation of Medicare Supplement claims by analyzing case details, determining appropriate action steps, and maintaining strict compliance with both internal policies and external regulations. You'll contribute to a high-quality customer experience while supporting our commitment to operational excellence and regulatory integrity. |
WHAT WE CAN OFFER YOU:
- Hourly Wage: $20.00 - $21.00, 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:
- Claims Evaluation & Processing: Accurately reviews and processes claims by analyzing medical information, contract language, and provider data to ensure timely and compliant benefit determinations.
- Customer & Provider Communication: Communicates effectively with internal and external stakeholders to obtain and clarify claim information, resolve issues, and explain determinations.
- Data Integrity & Compliance: Maintains accurate provider and claims data in accordance with corporate guidelines, regulatory requirements, and quality standards.
- Customer Service & Issue Resolution: Delivers high-quality service across multiple channels, performs service recovery, and ensures a positive customer experience through clear, compliant communication.
- Continuous Improvement & Collaboration: Actively contributes to team huddles, process improvements, and personal development while upholding high work standards, adaptability, and trust-building collaboration.
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WHAT YOU'LL BRING:
- Demonstrates urgency and ownership of work, adapts to change, and is eager to learn new skills in a dynamic environment.
- Works well independently or as part of a team, is approachable, and contributes to a collaborative workplace culture.
- Manages time effectively, meets deadlines in a fast-paced setting, and applies attention to detail, sound judgment, and analytical thinking.
- Communicates clearly and professionally while tailoring responses to meet customer needs in a compliant and respectful manner.
- Proficient with standard computer systems and tools, maintains consistent attendance, and is flexible to work varied shifts or overtime as needed.
- 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:
- Medicare Claims processing skills/experience
- Call center skills
- Insurance product knowledge.
- Experience with the application of policies, practices and procedures in a business environment.
- Knowledge of medical terminology.
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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)
Aug 16, 2025 