Top 3414 Claim processing specialist Jobs

Long Term Care Benefit Claim Specialist
Mutual of Omaha —Remote
- $24 - $28 an hour
- Email
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- Customer service
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Customer Account Specialist
Magris Talc —Three Forks, MT
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- Full-time
- 5 years
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Accounts Payable/Receivable & Warranty Specialist
Rhinelander Auto Group —Rhinelander, WI
- $18 - $22 an hour
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Combs Insurance Agency, Inc. —Palmer, AK
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Medical Billing Specialist - In Person
Ortho Montana —Billings, MT
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EDI Integration Specialist
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Billing Specialist
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Confidential —Largo, FL
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Accounting Specialist
Preston Feather Building Centers —Petoskey, MI
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Medical Billing Specialist with up to 1 year of experience
JS Medical Billing, LLC —Bel Air, MD
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- 1 year
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Certified Billing Specialist
Premier Eye Care Group —Harrisburg, PA
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- Microsoft Excel
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Medical Billing/Credentialing Specialist
Freedom Solutions Medical Billing Plus LLC —Easton, CT
- From $21 an hour
- Full-time
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- 1 year
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Registered Agent Operations Specialist
Confidential —Cheyenne, WY
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- Part-time
- Background check
- Google Workspace
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Ambulatory Surgery Center (ASC) Collection Specialist
Redefine Management, LLC —Matawan, NJ
- $22 - $27 an hour
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- Research
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Reimbursement Specialist
Specialty Care Rx —Orange, CA
- $26 - $30 an hour
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Accountant Specialist I
Great Lakes Fastening —Knoxville, TN
- $40,000 - $45,000 a year
- Email
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Staff Accountant/Payroll Specialist
West Harbor Healthcare LLC. —Carlsbad, CA
- $65,000 - $100,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Mid-level
- Health insurance
- 401(k) matching
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Warranty Specialist (Heavy Equipment)
Ascendum Machinery —Huntersville, NC
- Overtime
- Microsoft Outlook
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Medical Certified Professional Coder (CPC)- not remote
Family Practice, Urgent Care, and Specialty Coding —Idaho Falls, ID
- From $17.50 an hour
- 8 hour shift
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- Health insurance
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Medical Accounts Receivable Billing (A/R) Specialist Onsite Position
The Pain Rehabilitation Group of Wichita Falls —Wichita Falls, TX
- $17 - $25 an hour
- Full-time
- Hybrid work
- HIPAA
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Long Term Care Benefit Claim Specialist

Mutual of Omaha -
Remote

Apply Now

Job Details

Full-time
$24 - $28 an hour

Benefits

Paid holidays
401(k)
401(k) 2% match

Qualifications

Customer communication
Customer service
Regulatory compliance in claims processing
Insurance regulation
Insurance policy review
Medical terminology

Full Job Description

Location: Remote
Work Type: Full Time Regular
Job No: 504880
Categories: Claims/Claims Processing
Application Closes: Closes Jul 31, 2026

2026-07-15

Responsible for the accurate and timely evaluation, management, and adjudication of Long Term Care claims from initial notification through claim resolution. This role involves analyzing medical, contractual, and vocational information to determine eligibility for benefits, making informed decisions on claim approvals or denials, and ensuring compliance with internal policies and regulatory requirements. The position requires effective communication with claimants, employers, and medical professionals while delivering a high-quality customer experience and supporting financial performance and customer retention.

WHAT WE CAN OFFER YOU:

Hourly Wage: $24.00 - $28.00, 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.

WHAT YOU'LL DO:

Evaluate and manage Long Term Care claims throughout the claim lifecycle, partnering with management to make informed decisions based on claim facts, policy provisions, and supporting documentation.
Gather, analyze, and document claim information to determine eligibility, ongoing liability, and benefit payments while ensuring accurate financial calculations and compliance with contract terms.
Maintain strong relationships and communication with claimants, employers, brokers, medical professionals, and internal partners to support effective claim resolution and a high-quality customer experience.
Document claim actions and decisions thoroughly and communicate determinations, status updates, and benefit changes clearly through written correspondence and direct outreach.
Ensure compliance and industry awareness by adhering to ERISA and applicable federal/state regulations while staying current on industry trends, legislation, and internal processes.

WHAT YOU’LL BRING:

Analyze and interpret insurance policies and regulations to support accurate Long Term Care claim decisions and benefit calculations.
Deliver strong customer service and communication through clear verbal and written interactions with claimants and stakeholders.
Apply analytical thinking and decision-making skills to manage claims effectively while developing greater independence and critical thinking.
Maintain organization, accuracy, and timeliness with strong attention to detail, the ability to meet deadlines, and adaptability in a changing environment.
Utilize technical and professional skills including basic medical terminology, Microsoft Office and internal systems, and the ability to manage claims over extended durations while ensuring fair and consistent claim handling.
You promote a collaborative culture, 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:

College degree or equivalent industry experience
Long Term Care Claims adjudication and analyzation skills

We value unique experience, skills, and passion for innovation. If your experience aligns with the listed requirements

If you have questions about your application or the hiring process, email our Talent Acquisition area at [email protected]. Please allow at least one week from time of applying if you are checking on the status.

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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!

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Great place to work

Together we achieve greatness. Not only is this a core value, but it’s also representative of the kind of place we are — built by the strength and integrity of our employees. It’s why we’re named a “Great Place to Work”.

An inclusive culture

Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co‑workers.

Apply Now

Refine Your Search

claim processing specialist jobs

Long Term Care Benefit Claim Specialist

Customer Account Specialist

Accounts Payable/Receivable & Warranty Specialist

Commercial Insurance Professional

Medical Billing Specialist - In Person

EDI Integration Specialist

Billing Specialist

Dental RCM Specialist

Accounting Specialist

Medical Billing Specialist with up to 1 year of experience

Certified Billing Specialist

Medical Billing/Credentialing Specialist

Registered Agent Operations Specialist

Ambulatory Surgery Center (ASC) Collection Specialist

Reimbursement Specialist

Accountant Specialist I

Staff Accountant/Payroll Specialist

Warranty Specialist (Heavy Equipment)

Medical Certified Professional Coder (CPC)- not remote

Medical Accounts Receivable Billing (A/R) Specialist Onsite Position

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