Senior Health Claims Specialist

Job Summary

Seeking a full-time Senior Supplemental Health Claims Specialist to administer complex Supplemental Health and voluntary benefits claims, serving as a subject matter expert while working remotely in Tennessee or onsite in Omaha, NE.

Key responsibilities

• Administer and adjudicate complex supplemental health claims, ensuring compliance with policies and regulations
• Maintain organizational service standards across a diverse caseload while providing clear communication and documentation of claims decisions
• Collaborate with cross-functional teams to enhance claims processes and support integrated claim strategies

Required qualifications

• 5+ years of experience in Supplemental Health claims administration preferred
• College degree or equivalent experience preferred
• Strong analytical skills with the ability to make balanced and objective decisions
• Experience in mentoring and training team members
• Ability to manage multiple priorities in a fast-paced environment