Claims Associate

Aston Carter•Lincoln, NE
•$49,000 - $58,000•Hybrid

About The Position

The Claims Associate handles member inquiries and provides clear, accurate information about medical or vision benefits and claims. The role involves navigating multiple systems to research questions and resolve them efficiently while maintaining a professional, calm, organized, and detail-oriented approach on every call. This permanent role is based in Lincoln, Nebraska, with a hybrid schedule. During the first eight weeks of training, employees work in the office Monday through Thursday and from home on Friday. After training, the schedule is three days in the office per week. Normal schedules are 8:15 a.m.–5:00 p.m. or 9:15 a.m.–6:00 p.m., with later shifts rotated 1–2 times per month. The position is anticipated to close on November 23, 2026.

Requirements

  • At least one year of customer service experience.
  • High school diploma.
  • Professional phone etiquette.
  • Telephone customer service experience and comfort taking inbound and outbound calls.
  • Strong technical aptitude, including proficiency with Microsoft Office products and a claims system.
  • Reliability and accountability for attendance and adherence to a hybrid schedule.

Nice To Haves

  • Knowledge of medical terminology.
  • Coursework or certification assistance may be available after approximately six months.

Responsibilities

  • Answer an average of 20–25 calls daily and explain medical or vision claims.
  • Help members understand their Explanation of Benefits and research claim status, payment information, deductibles, copays, and eligibility questions.
  • Resolve member concerns or escalate complex issues when necessary.
  • Document call details, complete follow-up tasks, and perform other assigned duties.

Benefits

  • 13 paid holidays.
  • Health, dental, and vision benefits, with individual and family plans, beginning on day one.
  • Paid time off (PTO).
  • Coursework or certification assistance may be available after approximately six months.
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