Claims Analyst I
IT
Lincoln, NE, USA
Posted on Jul 24, 2026
Assurity is looking for enthusiastic, driven and collaborative people to join our team. We’re a company of vibrant and passionate people who work every day to advance our mission of helping people through difficult times – and who truly want to make a difference. As a Certified B Corporation, we have a verified commitment to our people, community and planet, and we work every day to make the world a better place.
Ample opportunities for growth, a thriving culture and coworkers who care as much as you do are just the beginning. Come work with purpose. Learn more: www.assurity.com/careers
ESSENTIAL FUNCTIONS
85% Process health claims, which may include:
- Initializing and triaging all claims for all health and disability products;
- Independently examine claims documentation such as medical bills/records, accident reports, claim forms and facility information (HCFA 1500 & UB04) and validate claims against policy coverage, state/federal regulations, and contractual requirements to determine correct claim process and decision;
- Serve as a liaison between numerous internal departments, including but not limited to customer service, accounting, legal, and others;
- Adhere to all statutory and regulatory fair claims practices;
- Making judgments within the standards of completeness, timeliness and accuracy regarding payment, denial, or investigation;
- Reading and analyzing medical records;
- Understanding and applying policy provisions;
- Composing and typing correspondence to policy holders, doctors, employers, and others as required;
- Calling claimants and/or employers for additional information;
- Ordering investigative reports, medical, financial, and other records as required;
- Paying ongoing/continuance claims within authority level;
- Referring continuance claims after 3 months of benefits have been paid to higher level; and
- Processing continuance claims when referred back from higher level.
5% Refers specified non-routine cases to team lead(s), Sr. Claims Supervisor, or higher level analysts.
10% Performs other functions as assigned, which may include:
- Answering calls referred from Contact Center;
- Helping train new associates.
The list of essential functions is not exhaustive and may be substituted as necessary.
EXPERIENCE AND SKILL REQUIREMENTS
- Four to six years’ relevant experience or equivalent required.
- Professional oral and written communication skills required.
- Consistent and reliable attendance is an essential function to this position.
- Decision-making ability required.
- Proficiency with word processing and spreadsheet software.
- Progress toward completion of ALHC and FLMI designations.
- Problem solving skills and appreciation for details required.
- Knowledge of LifePro and Workflow systems.
- Talent required in values, work intensity, achiever, positivity, resourcefulness, command, persuasion, relationship-extension, and exactness.
EDUCATION AND CERTIFICATION REQUIREMENTS
- Associate degree or equivalent in business or related field required.
PHYSICAL AND WORK SCHEDULE REQUIREMENTS
- May require work in excess of 40 hours a week in order to complete functions of position.
- Hybrid position based in Lincoln, NE. Requires three days per week onsite and provides a hybrid schedule with two remote workdays.