- Independently adjudicate a broader range of claims, including some with complex documentation or benefit triggers.
- Analyze provider and care documentation to determine ongoing eligibility.
- Engage with providers and families to resolve issues or obtain information.
- Mentoring or supporting of Level 1 associates.
- Identify potential red flags or inconsistencies for clinical or risk escalation.
- Taking incoming calls and making outbound calls throughout the claim process.
- Must meet/maintain procedural accuracy requirements.
- 1+ years of LTC claims or related experience.
- Intermediate knowledge of long-term care services and terminology.
- Demonstrated ability to manage multiple cases with accuracy and empathy.
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Claims Associate - Indianapolis - OneAmerica
Description
At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives
The Long-Term Care Claims Associate is responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards.
Primary Responsibilities
High School Diploma or equivalent
Recommended Education and/or Certifications
Bachelor's Degree
Required Work Experience
#LI-SC1
Salary Band: 3B
This selected candidate will be expected to work hybrid in Indianapolis, IN but we may consider remote associates who are not local to Indianapolis, IN. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration.
If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York.
Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law.
For all positions:
Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered.
To learn more about our products, services, and the companies of OneAmerica Financial, visit
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
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