Long Term Care Claims Examiner

OneAmerica Financial • Indianapolis, IN

5d • Hybrid

About The Position

The Long Term Care Claims Associate is responsible for adjudicating less complex long-term care claims with close supervision and support. Focuses on learning systems, policy interpretation, and documentation standards while delivering compassionate customer service.

Requirements

• High School Diploma or equivalent
• 0–2+ years of insurance or healthcare experience.
• Critical thinking and analytical skills.
• Strong written and verbal communication skills.
• Detail-oriented with the ability to follow structured procedures.

Nice To Haves

• Bachelor's Degree

Responsibilities

• Adjudicate routine claims according to policy and regulatory guidelines.
• Request and review basic medical records and care plans.
• Communicate claim status and decisions to claimants and providers.
• Document all actions clearly and accurately in the claim system.
• Participate in training and coaching to build foundational LTC knowledge.
• Taking incoming calls and making outbound calls throughout the claim process.
• Must meet/maintain procedural accuracy requirements.

Benefits

• Medical & prescription, dental, vision insurance
• Health Savings Account & Flexible Spending Accounts
• Paid Time Off
• 10 weeks 100% paid parental leave (after completing 12 months of employment)
• 401(k) Plan with company match
• Pension Plan
• Company paid life & disability insurance
• Wellness Program & Company paid employee assistance program
• Clinic access subject to location (Indianapolis, Charlotte, Cincinnati)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED