Mutual of Omaha Technical Quality Specialist (Workplace Solutions Claims Shared Services)-Omaha, NE or Remote in OMAHA, Nebraska
Effectively analyzes complex and sensitive claims situations. Engages in direct communication with employers, attorneys, external vendors as well as internal business partners. Demonstrates leadership ability in talent management and strategy execution. Participates in process improvement activities, identifies and eliminates waste in processes that will result in focused effort on value-add service for the customer.
WHAT YOU'LL DO:
Analyzes, evaluates and investigates claims adjudication from a Quality Audit perspective for Group Short-Term Disability (STD), Long-Term Disability (LTD), Life, Life Waiver of Premium (WOP), Accidental Death & Dismemberment (AD&D), Living Care, Accident, Critical Illness and Long-Term Care claims adjudicated by the Claims Organization within Workplace Solutions.
Adheres to the supervisor review and Healthy Claim Review processes that have been established, ensuring that objectives are met, performing quality and accuracy reviews of Benefit Claim Technician's and Benefit Claim Specialists as established. Participates in training, coaching, auditing and provides feedback to Benefit Claim Technician's, Benefit Claim Specialists and Claims Leadership.
Establishes and promotes best practice claims management processes, and actively engages in collaborating with internal and external business partners. Facilitates and 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, 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 Team Leader position.
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 added service to customers. Participates in innovative and creative ways to sustain process change.
You help promote a culture of diversity and inclusion within the department and the larger organization. You value different ideas and opinions. You listen courageously and remain curious in all that you do.
You are able to work remotely and have access to high-speed internet.
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 independently and apply a sense of urgency.
Ability to meet deadlines under pressure and determine when escalation may be appropriate.
Strong analytical and decision-making skills.
Ability to be flexible and adapt to a changing environment.
Ability to maintain regular and predictable attendance in adherence to department and company attendance expectations.
- Knowledge of medical terminology.
WHAT WE CAN OFFER YOU:
A diverse workplace where associates feel a sense of belonging.
An organization that feels like a small, close-knit community and has the strength of a Fortune 500 company.
Tuition reimbursement, training and career development.
Comprehensive benefits plan that includes medical, dental, vision, disability and life insurance.
Flexible spending accounts for healthcare and childcare needs.
401(k) plan with a 2% company contribution and 6% company match.
Competitive pay with an opportunity for incentives for all associates.
Flexible work schedules with a healthy amount of paid time off.
For more information regarding available benefits, please visit our Career Site. (https://www.mutualofomaha.com/careers/life-at-mutual/benefits-and-perks)
Minimum: $54,822 MidPoint: $71,269 Maximum: $87,715
Pay commensurate with experience.
MUTUAL OF OMAHA:
Mutual of Omaha serves more than 4.8 million individual product customers and 39,000 employer groups. Our legacy of stability creates an environment where every associate is encouraged to experiment, innovate and grow in their own unique career path.
From day one, you’ll have the tools to be your best self at work. Here you’ll do meaningful work and your talents will have a positive impact on peoples’ lives as we help our customers protect what they care about and achieve their financial goals.
Each associate is a unique contributor to creating a diverse, dynamic, thriving and inclusive workplace. We want you to become engaged … feel a sense of belonging … and contribute to the company’s exceptional future.
Join forces with a company that can AMPLIFY YOUR STRENGTHS AND EMPOWER YOUR CAREER.
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 we will reply within 24 hours. #circa
Mutual of Omaha and its affiliates are an Equal Opportunity /Affirmative Action Employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
To All Recruitment Agencies: We do not accept unsolicited agency resumes and we are not responsible for any fees related to unsolicited resumes.