Senior Health Claims Specialist

Virtual Vocations Inc · Workfromhome, United States

Seeking a full-time Senior Supplemental Health Claims Specialist to administer complex Supplemental Health and voluntary benefits claims, serving as a subject matter expert while working remotely in Tennessee or onsite in Omaha, NE. Key responsibilities Administer and adjudicate complex supplemental health claims, ensuring compliance with policies and regulations Maintain organizational service standards across a diverse caseload while providing clear communication and documentation of claims decisions Collaborate with cross-functional teams to enhance claims processes and support integrated claim strategies Required qualifications 5+ years of experience in Supplemental Health claims administration preferred College degree or equivalent experience preferred Strong analytical skills with the ability to make balanced and objective decisions Experience in mentoring and training team members Ability to manage multiple priorities in a fast-paced environment