• To analyze complex or technically difficult medical malpractice claims • Provide resolution of highly complex nature and/or severe injury claims • Coordinate case management within Company standards, industry best practices and specific client service requirements • Manage the total claim costs while providing high levels of customer service.

Position Overview We are seeking a Claims Analyst II to examine and process both paper and electronic healthcare claims. In this role, you will determine whether claims should be returned, pended, denied, or paid in accordance with established policies, procedures, and benefit plans. This position plays a critical role in ensuring accurate, timely claim adjudication while maintaining confidentiality and quality standards. - Must be able to pick up equipment from either our Menasha or Brookfield office. - Fully Remote (Wisconsin Residents Only) - Schedule: Full‑time (40 hours/week) Primary Responsibilities - Adjudicate professional and facility claims in accordance with member Certificates of Coverage, medical policies, and plan benefits. - Review claims for accuracy, proper billing standards, and completeness of information. - Determine appropriate claim disposition (pay, deny, pend, or return) within established timeframes. - Obtain additional or missing information from providers, members, or internal partners as needed. - Maintain department quality standards and required turnaround times. - Identify and process Coordination of Benefits (COB), Workers’ Compensation, and Subrogation claims. - Investigate and resolve pending claims; deny claims when resolution timelines are exceeded. - Monitor claims processing systems for errors and make necessary corrections or adjustments. - Review claims for re‑pricing and apply internal or external provider discounts as appropriate. - Review home office claims for payment up to $18,000. - Process specialty claims (e.g., transplant, URN, COB) according to external contract requirements. - Accurately document claim decisions, attributes, and memos. - Stay current on group contracts, provider discounts, authorizations, and utilization management policies. - Perform additional duties as assigned. Required Qualifications - 2–4 years of healthcare claims processing experience - Knowledge of: - Medical terminology - CPT and ICD‑9/ICD‑10 coding - Coordination of Benefits (COB), subrogation - Ability to manage confidential information with accuracy and professionalism - Strong attention to detail and time‑management skills Preferred Experience - Medicaid or ACA plan experience - Claims adjudication experience - Coding experience - Prior experience with QNXT™ Claims Workflow Education - High school diploma or equivalent preferred Work Environment & Location - Must reside in Wisconsin - Eligible to work: - Fully remote (home office requires reliable internet) - Menasha office - Brookfield office - Hybrid model - Equipment must be picked up in Menasha or Brookfield Training & Schedule - Training schedule: 8:00am – 4:30pm, Monday–Friday for the first 6 weeks (virtual training) - Post‑training schedule may be adjusted in consultation with supervisor - Regular business hours fall between 8:00am – 5:00pm, Monday–Friday Why Join Us? - Internal career growth opportunities across departments - Fully remote work option within Wisconsin - Stable, full‑time role supporting seasonal business needs and growth Job Type & LocationThis is a Contract to Hire position based out of Menasha, WI. Pay and BenefitsThe pay range for this position is $19.25 - $19.25/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Apr 6, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Title: General Liability Claims Specialist I Locations: Atlanta, GA; Dallas, TX; or Omaha, NE. Work Type: Hybrid Job ID:132061 Job Description: At Zurich North America Claims we acknowledge that work life balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into one of the following North American Claims offices: Atlanta, GA; Dallas, TX; or Omaha, NE. This position can be remote for a strong candidate with a background in General Liability Claims and Bodily Injury Claims handling experience. About the Role: Zurich is currently seeking an individual interested in growing their career with our General Liability team. As a General Liability (GL) Claims Specialist, you will work with a diverse team of claims professionals. This environment will support your development as you enhance your technical skills in GL policy interpretation and coverage analysis to effectively resolve claims. Key Responsibilities: - Handle non-litigated GL claims of low to moderate exposure and complexity, such as slip/trip and falls, product liability, and other third-party injuries resulting from premises liability exposures. - Manage a caseload within specified authority limits from beginning to end with coaching and supervision. - Collaborate and develop partnerships with internal and external points of contact, including customers, vendors, suppliers, and brokers, to provide quality claims experience. - Learn and develop knowledge of established protocols and industry best practices to ensure efficient, effective, and customer-centric claims handling. Basic Qualifications: - Bachelor's Degree and 2 or more years of experience in Claims Handling or Insurance; OR - Completion of Zurich Claims Training Program and 2 or more years of experience in the Claims or Insurance area OR - Zurich Certified Insurance Apprentice including an Associate Degree with 2 or more years of experience in Claims Handling or Insurance; OR - High School Diploma or Equivalent and 4 or more years of experience in Claims Handling or Insurance. Additional Requirements: - Must obtain and maintain required adjuster license(s). - Proficiency in Microsoft Office. - Knowledge of insurance regulations, markets, and products. Preferred Qualifications: - General liability claims handling experience. - Active adjuster's license. - Experience collaborating across work groups. - Ability to develop and maintain strong relationships. - Understanding of the claims adjustment process and ability to determine scope/exposure for losses. - Knowledge of vendor utilization and litigation strategy development. - Financial and actuarial/reserving concepts comprehension. - Familiarity with negotiation strategies and alternative approaches. - Strong organizational and time management skills. - Customer service experience. - Strong analytical, critical thinking, and problem-solving skills. - Excellent verbal and written communication skills. Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $49,500.00 - $81,000.00, with short-term incentive bonus eligibility set at 10%. Location(s): AM - Addison, AM - Atlanta, AM - Omaha, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MM1 #LI-HYBRID

Role Description We’re seeking a Group Claims Team Leader in Claims Shared Services within our Workplace Solutions division. As part of our team, you will play a key role in leading a team of Claim Intake Technicians by having an eye for continuous improvement and a focus to ensuring the organization is running as effectively and efficiently as possible. Responsibilities - Oversee a team of Claim Intake Technicians, providing training, coaching, motivation, and performance management to ensure their professional development and success. - Monitor work progress and performance by utilizing service operational metrics and observing staff to ensure adherence to established standards for quality, quantity, and timeliness of work produced by the department. - Initiate, participate in, and deliver departmental initiatives utilizing change management techniques and concepts. - Serve as a knowledgeable representative of the Claims Shared Services department, both within and outside the division/operation, acting as a subject matter expert. - Engage frequently with external customers and internal stakeholders, effectively addressing escalated issues on behalf of the team. Qualifications - 5+ years of Group Disability Claim or Group Claims Shared Services experience with a deep understanding of product offerings and up-to-date knowledge of industry trends. - Experience ensuring strict compliance with regulations set by the State Insurance Department. - 1 year of supervisory experience with coaching and performance management. - Effective management skills, strong leadership abilities, excellent analytical and decision-making capabilities, exceptional communication skills, and strong interpersonal relations skills. - Proven effectiveness in managing in a fast-paced service production environment while being proactive and willing to support the organization where necessary. - Promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously. - Able to work remotely with access to a high-speed internet connection and located in the United States or Puerto Rico. Benefits - Estimated Salary: $75,500 - $85,000 plus annual bonus opportunity. - 401(k) plan with a 2% company contribution and 6% company match. - Work-life balance with vacation, personal time, and paid holidays. Application Information Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com . Please allow at least one week from time of applying if you are checking on the status. Mutual of Omaha only accepts applications from mutualofomaha.com/careers . Legitimate communications will come from '@mutualofomaha.com.' We never request sensitive information or extend job offers without conducting interviews. For more details, check our Hiring FAQs .