Claims Examiner I or II

Woodmen Life Home Office, 1700 Farnam Street, Omaha, Nebraska, United States of America

Posted Thursday, August 13, 2026 at 6:00 AM

Job Title :
Claims Examiner I or II

This position could be hybrid or possibly fully remote depending on level of experience.

Woodmen Life is looking to hire Claims Examiner I or II
to join our team! In this role, you will be responsible for securing and analyzing claim information to determine the approval or denial of claims related to Life, Annuity and Cancer products and benefits. The role involves making informed claims decisions in accordance with the terms of the contract, performing detailed analysis and documentation of claim data to direct effective outcomes, and meeting risk management and regulatory requirements in accordance with Woodmen Life’s policies and practices.

The claim examiner communicates with claimants, beneficiaries, health providers or others to gather information and clarify details of the claims. The claims examiners are responsible for the adjudication and payment of all types claims for life, annuity and health products.

Woodmen Life is one of the best places to work in Omaha, with more than 135 years of service rooted in purpose and community. Since 1890, Woodmen Life has been dedicated to helping hardworking Americans secure their families’ financial futures and leave a lasting legacy. As a purpose‑driven, not‑for‑profit life insurance company, our commitment is to our members and the communities they call home.

As a member of the Woodmen Life family, you’ll join others who share a commitment to family, community, and country. We offer a comprehensive benefits package including health, dental, vision, 401(k), life insurance, and more.

• Handles all the administrative duties for Life and Health Claims that includes but not limited to:
• Compare and analyze death notification against Client System of Record and takes appropriate action.
• Enters and codes all new deaths or health claims into administrative systems
• Mails claim paperwork and checks
• Examines death or health claims on life and annuity insurance certificates and cancer product.
• Reviews applications and claim forms, certified death certificate and any additional documentation to assure that a valid death has occurred, and correct beneficiary has made claim for the proceeds. Reviews the beneficiary designated and determines if the beneficiary is eligible for payment.
• Upon demonstration of required skills and competencies:
• Life
  -independent approval limits up to $75,000
• Cancer-independent approval limits up to $25,000
• Makes calls to Funeral Homes verifying needed information in order to process claims with face amounts that qualify as "quick" claims.
• Determines if adjustments are needed to the benefit amounts Woodmen Life is liable for based on the date of death, date of birth, and applicable interest rates,
• At time of payment, reviews state requirements to determine if Woodmen Life is required to perform a data match of its beneficiaries against a Child Support Division database in an attempt to intercept payments to a parent who may be in default of their child support obligations.
• Continually reviews and analyzes the workflow to provide efficient service and meet service level goals. Makes recommendations for changes that enhance the process and improve customer service.

• Proficient in all Level I duties.
• Upon demonstration of required skills and competencies:
• Life & Annuity-independent approval limits up to $300,000
• Cancer-independent approval limits up to $60,000
• Processes annuity and settlement options death claims, including Variable Annuities. Identify the type of annuity to be paid. Determines if the beneficiary is eligible to receive the elected distribution option under Woodmen Life policies and procedures and IRS regulations. After confirmation of elected distribution method, completes claim processing calculates the net gain, determines federal/state withholding, creates tax forms for each beneficiary, and coordinates with other departments to ensure ownership changes…