Qureos Mentor

Mutual of Omaha

<div><div><p><b>Location:</b> Remote<br>
<b>Work Type:</b> Full Time Regular<br>
<b>Job No:</b> 504626<br>
<b>Categories:</b> Claims/Claims Processing<br>
<b>Application Closes:</b> Open Until Filled
</p><div>2026-03-16</div></div><div></div><div><br>
</div><div></div><div><div><div><div><div><p>s a key member of our Disability Claims team, you&rsquo;ll guide insurance claims from start to finish&mdash;making informed decisions that directly affect our customers&rsquo; financial well-being. Your experience in STD and LTD claims ensures timely, accurate support and builds trust in our company&rsquo;s promise to protect.</p><br>
<p></p>
<p><b>
Short Term Disability Class starts on Monday, May 18th.</b></p>
<p><b>
Long Term Disability Class starts on Monday, June 1st.</b></p>
<p><b>
Training hours are from 7:30 a.m. to 4:00 p.m. CST for up to 14 weeks.</b></p></div></div><div><br>
<div>
<p><b>WHAT WE CAN OFFER YOU:</b></p>
<ul>
<li>Estimated Wage (Levels have variable responsibilities and qualifications):
<ul><li>Benefit Claim Specialist $26.00 - $27.00, plus annual bonus opportunity.</li>
<li>Sr Benefit Claim Specialist: $56,000 - $70,000, plus annual bonus opportunity.</li>
</ul></li><li>401(k) plan with a 2% company contribution and 6% company match.</li>
<li>Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.</li>
<li>Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.</li></ul></div><br>
</div><br>
<div><div><p><b>WHAT YOU'LL DO:</b></p>
<ul>
<li>Make decisions in partnership with management based on a comprehensive understanding of claim facts and thorough evaluation of relevant information.</li>
<li>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.</li>
<li>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.</li>
<li>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.</li>
<li>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.</li></ul></div><br>
</div><br>
<div><div><p><b>WHAT YOU&rsquo;LL BRING:</b></p>
<ul>
<li>Demonstrate a foundational ability to analyze, comprehend and apply insurance provisions and contracts to disability claims.</li>
<li>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.</li>
<li>Proficient with navigating multiple systems and Microsoft Office Suite</li>
<li>Provide a solid level of customer service (written and verbal) while displaying empathy to customers.</li>
<li>You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do.</li>
<li>Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico</li></ul></div><br>
</div><br>
<div><div><p><b>PREFERRED:</b></p>
<ul>
<li>1 year of disability claim experience in STD or LTD</li>
<li>Bilingual Spanish both verbal and written communication</li></ul></div><br>
</div><br>
<div><div><p><b>We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements</b></p>
<p>
If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status.</p>
<p><b>
Stay Safe from Job Scams</b><br>
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!</p>
<p>
Fair Chance Notices</p>
</div>
</div><br>
</div></div></div><div>Need help? Email Us
</div><div><div><h2 class="jobSectionHeader"><b>Great place to work</b></h2>
<p>Together we achieve greatness. Not only is this a core value, but it&rsquo;s also representative of the kind of place we are &mdash; built by the strength and integrity of our employees. It&rsquo;s why we&rsquo;re named a &ldquo;Great Place to Work&rdquo;.</p><br>
<p></p>
</div><div><h2 class="jobSectionHeader"><b>An inclusive culture</b></h2>
<p>Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co‑workers.</p></div></div></div><p></p>

Benefit Claim Specialist (STD & LTD)

<div><div><p><b>Location:</b> Remote<br>
<b>Work Type:</b> Full Time Regular<br>
<b>Job No:</b> 504643<br>
<b>Categories:</b> Claims/Claims Processing<br>
<b>Application Closes:</b> Closes Mar 31, 2026
</p><div>2026-03-13</div></div><div></div><div><br>
</div><div></div><div><div><div><div><div>In this role, you&rsquo;ll leverage your expertise in claims adjudication, contract interpretation, and risk management to guide clients, overcome obstacles, and ensure fair, compliant decisions. You&rsquo;ll collaborate with internal teams and the Law Division, communicate clearly and professionally with claimants and stakeholders, and manage multiple priorities with accuracy and attention to detail. This role also offers the opportunity to mentor and support staff while continuously improving processes and efficiency.</div></div><br>
<div>
<div><p><b>WHAT WE CAN OFFER YOU:</b></p>
<div>
<ul><li>Estimated Salary: (Levels have variable responsibilities and qualifications):
<ul><li>Appeals Specialist: $54,000 - $66,000 plus annual bonus opportunity.
</li><li>Sr Appeals Specialist: $68,000 - $90,000 plus annual bonus opportunity.
</li></ul></li><li>401(k) plan with a 2% company contribution and 6% company match.
</li><li>Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.
</li>Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.<br>
<li>
</li></ul></div></div></div><br>
<div><div><p><b>WHAT YOU'LL DO:</b></p>
<div>
<ul><li>Reviews and evaluates all pre- and post-adverse benefit determination materials for Group STD, LTD, Life, AD&amp;D, Waiver of Premium, CI and Accident appeals; overcomes objections through effective appeal arguments, escalates appropriately, and requests additional information as needed to clarify issues.</li>
<li>Renders appeal decisions using medical, vocational and legal risk management resources; serves as a technical expert to guide client appeal activities and leverages contract language to support sound determinations.</li>
<li>Prepares clear, professional written communications to claimants, representatives, policyholders, brokers and attorneys; documents actions thoroughly and maintains accurate records of appeal cause, disposition and trending.</li>
<li>Ensures compliance with ERISA and applicable federal and state laws; researches and evaluates emerging case law and regulatory changes, presents cases in forums, and remains current on company, industry and legislative updates.</li>
Drives continuous improvement by identifying technological and process enhancements; mentors and trains staff and clients on appeals and risk management, contributes to internal policy development, and partners with operations to ensure alignment on key processes.<br>
<li>
</li></ul></div></div></div><br>
<div><div><p><b>WHAT YOU&rsquo;LL BRING:</b></p>
<div>
<ul><li>Minimum of 10 years of Group Disability experience, thorough understanding of claims adjudication, benefit determination, investigation, file development, legal requirements, and contract interpretation, with the ability to conduct focused and extensive claims research.</li>
<li>Demonstrated high-level risk management, analytical, mathematical, problem-solving, and decision-making skills, with strong persuasion, negotiation, and ability to interpret and communicate disability contract language.</li>
<li>Excellent communication skills with the ability to remain professional and pleasant in interactions with coworkers, clients, claimants, vendors, and others; capable of conducting small group presentations and collaborating with the Law Division, including potential participation in depositions or trials.</li>
<li>Ability to de-escalate situations on a regular basis and manage multiple priorities effectively.</li>
<li>Superior attention to detail, flexibility, and the ability to work independently or as part of a team.</li>
<li>You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do.</li>
<li>Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico.</li></ul></div><br>
</div>
</div><br>
<div><div><p><b>We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements</b></p>
<p>
If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status.</p>
<p><b>
Stay Safe from Job Scams</b><br>
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!</p>
<p>
Fair Chance Notices</p>
</div>
</div><br>
</div></div></div><div>Need help? Email Us
</div><div><div><h2 class="jobSectionHeader"><b>Great place to work</b></h2>
<p>Together we achieve greatness. Not only is this a core value, but it&rsquo;s also representative of the kind of place we are &mdash; built by the strength and integrity of our employees. It&rsquo;s why we&rsquo;re named a &ldquo;Great Place to Work&rdquo;.</p><br>
<p></p>
</div><div><h2 class="jobSectionHeader"><b>An inclusive culture</b></h2>
<p>Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co‑workers.</p></div></div></div><p></p>

Appeals Specialist (Group Claims)

Join Mutual of Omaha and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Mutual of Omaha

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Benefit Claim Specialist (STD & LTD)

Appeals Specialist (Group Claims)