Job ID: AS3307281023
Location: Lincoln, NE
Category: Office & Professional
Employment Type: Permanent
Date Added: 10/23/2026
Medical Claims Associate| Direct Hire| Full Time| Hybrid| $49,000 -$58,000 DOE| Lincoln, NE
Help members understand their healthcare benefits and navigate medical claims with confidence. Partner with The Reserves Network to explore a direct hire opportunity with an established organization that values accurate, compassionate member service.
What Matters Most:
- Direct hire opportunity with eight openings available.
- Salary Range $49,000 -$59,000 depending on year experience.
- Exceptional Benefits package offered, including pension plan.
- High longevity of loyal employees working here over 15 years.
- Hybrid schedule with three days in office and two days remote.
- Must reside within 1 hour of Lincoln, NE
- Meaningful work helping members understand healthcare coverage and resolve claims questions.
- Opportunity to apply your customer service, insurance, or, medical billing and claims experience.
Your New Role:
As a Medical Claims Associate, you will assist members by phone with medical and vision claims, benefits, and payment questions. You will research information, explain coverage clearly, document conversations, and follow through to resolve concerns.
- Answer approximately 20–25 calls daily regarding benefits and claims.
- Explain Explanation of Benefits (EOB) statements, claim status, and payment information.
- Assist with questions about deductibles, copays, and eligibility.
- Research member concerns across multiple systems and provide clear, accurate responses.
- Resolve routine issues and escalate complex questions when appropriate.
- Document interactions, research findings, resolutions, and next steps.
- Track follow-up tasks while protecting confidential member information.
Your Experience:
- Relevant experience in a call center, insurance company, medical office, healthcare administration, or a similar customer service setting.
- Experience handling inbound or outbound calls, researching questions, and providing timely responses.
- Familiarity with medical or vision claims, insurance terminology, and benefits administration preferred.
- Ability to explain complex medical, insurance, or financial information in understandable terms.
- Strong listening skills and a patient, compassionate approach to helping frustrated or confused members.
- Sound judgment, attention to detail, and ownership of member concerns through resolution.
Your Technical Skills:
- Experience using claims systems, member databases, electronic medical records, or customer service platforms.
- Working knowledge of Microsoft Outlook, Word, and Excel, with comfort using Microsoft Teams.
- Ability to navigate multiple applications while speaking with members and documenting conversations.
- Accurate data entry and clear, thorough documentation.
- Ability to learn new software, follow procedures, and adapt to process changes.
- Strong organizational skills to prioritize requests, track commitments, and complete follow-up tasks.
What Helps You Succeed:
- Balance accuracy, pace, and clear communication while managing calls and research.
- Take accountability for your work, correct errors, and follow through on commitments.
- Maintain dependable attendance, punctuality, and adherence to your assigned schedule.
- Work independently from home and collaborate effectively during required office days.
Your New Organization:
Join a member-focused organization supporting the people who serve rural electric cooperative communities. Your work will help members understand their coverage and feel supported when navigating healthcare questions.
Your Career Partner:
The Reserves Network, a veteran-founded and family-owned company, connects talented professionals with rewarding career opportunities. Our recruiters provide personalized support throughout the hiring process.
Apply today to connect with a recruiter and learn more!
The Reserves Network is an Equal Opportunity Employer.
