"Alerted.org

About Armed Forces Benefit Association (AFBA) and 5Star Life

In 1947, AFBA emerged from the basement of the Pentagon to solve a critical need in support of the military. More than 75 years later, our commitment to those who serve and to solving their unique problems remains core to everything we do. Founded to provide military members with a death benefit no one else would, we continue to embrace our mission and deliver benefits tailored to the real-life needs of all who serve today, including active duty, National Guard, and first responders. Providing protection to those who go in harm’s way, we ensure survivor and other benefits are available to all who serve, defend, and protect our great nation, no matter what. 5Star Life Insurance Company was founded in service and carry that mission today by committing to serve those who serve, from underwriting benefits for military and first responder families to providing coverage to the employees that keep our communities running. Our commitment to our communities – rather than the bottom line- drives our business.

We offer a flexible hybrid work environment, allowing you to enjoy the best of both worlds with 3 days in the office and up to 2 days working remotely each week. This position is in Lincoln, NE.

Here are five key responsibilities for the Claims Analyst role:

+ Claims Intake and Communication

Handle incoming claim-related calls from brokers, employer groups, service providers, and beneficiaries, guiding them through the claims process and clearly communicating missing requirements and next steps.

+ Claims Adjudication and Documentation

Accurately adjudicate voluntary health and wellness claims in accordance with contract and benefit guidelines, ensuring the correct claim packages are sent based on coverage.

+ Stakeholder Relationship Management

Serve as the primary point of contact for beneficiaries, employer groups, vendors, and internal teams, fostering proactive communication and strong relationships throughout the claims process.

+ Process Improvement and Cross-Functional Support

Participate in reviewing and improving claims processes, support new product implementations, and collaborate with Account Management and Case Managers to streamline operations and identify trends.

+ Reporting and Compliance

Provide claims experience reporting for renewals, ensure adherence to privacy laws and company guidelines, and maintain a high level of accuracy and professionalism in all communications and documentation.

Education, Licensure, Certification, and Experience

+ Associates degree, or equivalent related work experience

+ 3 years’ work experience preferred

Knowledge, Skills, and Abilities

+ Self-motivated – you are a “go-getter”, minor hurdles do not prevent you from achieving your objectives

+ Strong written and verbal communication skills – you are a good, empathetic listener, clearly articulate your thoughts, and are very persuasive

+ Ability to read and understand Group Policy language and benefits

+ Ability to understand Current Procedural Terminology (CPT) medical codes

+ Organized – you easily prioritize to maximize your efforts

+ Computer skills – you are proficient with Microsoft Office, mainframe system, and using an imaging system

+ Life, Accident, Hospital Indemnity and Critical Illness product and claims proficiency

+ Ability to guide conversations and use appropriate words and tone when dealing with difficult situations while maintaining a professional demeanor

+ Strong attention to detail

+ Forward thinking with innovation in mind

+ Flexibility in adapting to changes in systems, procedures, and guidelines

+ Demonstrates complete adherence to privacy laws and company privacy guidelines, and appropriate level of concern for the safeguarding all client information

+ Believe in teamwork

+ Ability to solve problems and react quickly in case of any urgent situations

+ A helpful and supportive nature

+ Develop and maintain a positive work environment

+ Practice good work ethics and be able to lead by example

Benefits we offer:

+ health insurance (medical, dental, and vision)

+ flexible spending accounts (medical and dependent care)

+ 401k plan with generous employer match

+ paid time off

+ paid holidays (12)

+ life insurance

+ short- and long-term disability insurance

+ employee assistance program

+ professional development & tuition reimbursement

+ career growth opportunities

+ on-site gym and locker rooms (Alexandria, VA office only)

+ friendly, collaborative culture

Qualified people of all races, ethnicities, ages, sex, genders, sexual orientations, national origins, gender identities, marital status, religions, veterans' statuses, disabilities, and any other protected classes are strongly encouraged to apply. As an equal opportunity workplace, we are committed to creating an inclusive environment for all employees. AFBA and 5Star Life Insurance Company endeavors to make reasonable accommodations to the known physical or mental limitations of qualified applicants with a disability unless the accommodation would impose an undue hardship on the operation of our business. If an applicant believes they require such assistance to complete the application or to participate in an interview, or has any questions or concerns, they should contact Human Resources ([email protected]) ([email protected]). EEO is the Law (https://www.eeoc.gov/sites/default/files/migrated\_files/employers/poster\_screen\_reader\_optimized.pdf) (Link to external DOL site). AFBA and 5Star Life Insurance Company is an Equal Opportunity Employer and an E-Verify Employer.