Job Description
Description We are looking for a detail-oriented Claims Auditor to join a Financial Services organization in Omaha, Nebraska. In this role, you will evaluate benefit and insurance claim submissions, apply policy provisions accurately, and help ensure timely, well-documented payment decisions. This position is ideal for someone who combines analytical judgment, strong written communication, and a commitment to handling sensitive information with care.
Responsibilities:
• Examine claim forms, supporting records, and benefit requests to determine coverage eligibility and decide whether claims should be approved, declined, or held pending additional documentation.
• Record claim activity, decisions, and supporting details in the claims administration system with a high degree of accuracy and completeness.
• Prepare written communication to claimants, beneficiaries, financial institutions, medical providers, attorneys, and internal partners to explain outcomes or request m...
Responsibilities:
• Examine claim forms, supporting records, and benefit requests to determine coverage eligibility and decide whether claims should be approved, declined, or held pending additional documentation.
• Record claim activity, decisions, and supporting details in the claims administration system with a high degree of accuracy and completeness.
• Prepare written communication to claimants, beneficiaries, financial institutions, medical providers, attorneys, and internal partners to explain outcomes or request m...