Employee Benefits Specialist

Benefit Claim Specialist - Chattanooga, TN As a vital member of our Claim Disability teams, you will be responsible for making informed decisions throughout the life of insurance claims, from initial adjudication to ongoing claims management. Working in collaboration with management, you will leverage claim facts and conduct thorough evaluations, gathering pertinent information to formulate appropriate action plans. Disability Class starts on Monday, September 14, 2026 Training hours are from 7:30 a.m. to 4:00 p.m. CST for up to 14 weeks. During this period, you will report to the Chattanooga office every Tuesday and Thursday. After the 14 weeks of training, you must be able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico WHAT WE CAN OFFER YOU: Estimated Wage (Levels have variable responsibilities and qualifications): Benefit Claim Specialist $26.00 - $27.00, plus annual bonus opportunity. Sr Benefit Claim Specialist: $56,000 - $70,000, plus annual bonus opportunity. Lead Benefit Claim Specialist: $59,500 - $76,000, plus annual bonus opportunity. 401(k) plan with a 2% company contribution and 6% company match. Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. WHAT WE'LL DO: Make decisions in partnership with management based on a comprehensive understanding of claim facts and thorough evaluation of relevant information. Develop case files that showcase sound decision-making in accordance with documented procedures, using claim facts, policy provisions, and special handling agreements. Foster effective business relationships through clear communication with claimants, brokers, sales organizations, vendor partners, employers, and internal departments such as underwriting and legal. Thoroughly document all claim decisions and actions meticulously, maintaining regular and appropriate communication. 50% of your day will be on the phone with claimants, employers, and medical professionals throughout the entire claims life cycle. Review and determine ongoing claim liability, involving the evaluation of claim documentation, resolution of queries, and identification of any changes in claim status or benefits. Collaborate with internal and external partners, including brokers, sales organizations, clinical and physician resources, vocational experts, and financial resources. Accurately determine financial liability by analyzing salary, other income sources, medical/vocational information, and contract language. Exercise limited autonomy to approve initial and ongoing payments based on a holistic file evaluation. WHAT YOU’LL BRING: Demonstrate a foundational ability to analyze, comprehend and apply insurance provisions and contracts to disability claims. Ability to calculate disability benefits based on contract provisions and offset management to provide fair, equitable and consistent treatment of claims necessary for accurate financial payments and policyholder retention and satisfaction. Proficient with navigating multiple systems and Microsoft Office Suite Provide a solid level of customer service (written and verbal) while displaying empathy to customers. 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. We value unique 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 View email address on click.appcast.io. 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! 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”. Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co‑workers. #J-18808-Ljbffr