Claims Operations Specialist

Job Description

Job Description

Description:

As a Claims Operations Specialist, you will support the end-to-end claims intake process by managing intake channels, claim set up, and responsive assistance. Your role will include combining advanced administrative expertise with operation support for the claims team. You will work closely with the Claims Care phone team and claims examiners to support ongoing processes and knowledgeable backup. This is an onsite position that assists with mail claims processing and provides support to the Claims Care phone team during periods of high volumes or as assigned. 

Your responsibilities will include:

• Establish new claims in the existing claims system from all incoming sources, determines required documentation and initiates corresponds to obtain missing requirements. 
• Processes web claims submissions across platform including set up, required determination, communication, and processing payments following. 
• Monitors and triages incoming claims emails and queues, ensuring timely routing, response, and follow-up. 
• Matches incoming claims requirements to pending claims, documents receipts, and prepares claim files. 
• Previews death claims, follow-up with funeral homes regarding any outstanding requirements or uncashed drafts. 
• Resolve routine inquiries and escalate complex issues as needed. 
• Maintains organized and compliant claims files, ensuring all documents meet standards. 
• Provides additional support to Claims department and Claims Care Phone team calls as needed during periods of high volume.

Requirements:

• Equivalent to high school graduation required; an associate or bachelor’s degree is preferred. 
• 1+ years of experience working in a claims-focused phone environment, handling inbound calls and providing direct customer support. 
• Experience in insurance administration or operations preferred.
• Completion of LOMA courses in Principles and Operations within two years of employment.

Pay and Benefits Summary:

Our benefits include: 

• An excellent schedule – office closes at 1 p.m. every Friday
• Annual profit sharing 
• 401(k) with company match with discretionary contribution 
• Company-sponsored group medical and dental insurance 
• Company-paid life insurance 
• Company-paid long-term disability 
• Paid holidays 
• Generous vacation time and sick leave 
• Paid parental leave 
• Casual dress year-round 

About Homesteaders:

Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other.

We are currently hiring in AL, FL, GA, IA, IN, KS, LA, MI, MS, MT, NC, NE, OH, OK, PA, SC, TN, TX, UT, VA, WI, WV

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.