Quick Summary
Evaluates and authorizes disposition of complex claims. Obtains and analyzes medical records and financial documents. Initiates and monitors medical reviews, independent medical examinations,
This position uses strong subject matter knowledge to evaluate, analyze, and adjudicate claims in compliance with state and federal laws while providing timely and accurate service to clients. The incumbent works independently and influences others to achieve operational targets and customer retention.
- Position Location: This position is remote in Nebraska or Ohio and does not require regular in-office presence.
Responsibilities
~1 min read- →Evaluates and authorizes disposition of complex claims.
- →Obtains and analyzes medical records and financial documents.
- →Initiates and monitors medical reviews, independent medical examinations, surveillance, and financial reviews.
- →Corresponds with policyholders, attorneys, medical facilities, reinsurers, outside vendors, and insured's employer.
- →Interacts and requests formal written opinions from Legal and Medical/Underwriting departments.
- →Makes decisions on evaluation of claims using judgment, experience, and collaboration with senior associates.
- →Assists with recoveries from reinsurance carriers.
- →Performs all claims processing support functions.
- Bachelor’s Degree or equivalent experience required.
- 1-3 years of related experience required.
What We Offer
~1 min readAmeritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, you’ll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don’t:
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we’re committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
Location & Eligibility
Listing Details
- Posted
- August 25, 2026
- First seen
- September 25, 2026
- Last seen
- September 26, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 23%
- Scored at
- September 26, 2026
Signal breakdown
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