Claims Specialist Trainee

Aflac

. Review and process Wellness, Accident, or Cancer insurance claims under established policies and procedures .

Posted 11/4/2026full-timeNebraska • United StatesEntry Level💰 $37,000 - $43,680 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in processing insurance claims, utilizing administrative databases, and providing exceptional customer service. Capable of interpreting medical terminology and maintaining accurate documentation while ensuring compliance with established policies.

Highest-signal resume keywords

Claims ProcessingCustomer ServiceMedical TerminologyMicrosoft Office SuiteDatabase Maintenance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims Data EntryMedical Documentation ReviewMathematical Problem SolvingAdministrative ProceduresClerical Duties

Soft Skills

Active ListeningTime ManagementProblem SolvingCommunicationAttention to Detail

Tools & Technologies

Administration DatabasesSoftware Systems

Industry Keywords

Wellness InsuranceAccident InsuranceCancer InsurancePolicyholder CommunicationNebraska Residency

About the role

Key responsibilities & impact

Review and process Wellness, Accident, or Cancer insurance claims under established policies and procedures
Determine the nature and validity of claims by reviewing policy status, patient eligibility, and supporting medical and other documentation
Key claims data while interpreting coding and medical terminology related to diagnoses and procedures
Use multiple administration databases, systems, and subsystems to process and transmit claims for payment or further investigation
Provide prompt customer service to policyholders, providers, and internal company entities regarding claims
Document phone calls in the system and follow up on issues as needed
Contact insureds or appropriate persons to verify the accuracy and completeness of claims information
Respond to inquiries from policyholders, providers, and agents regarding claim status and policy provisions
Provide backup coverage for other teams as required
Maintain databases and prepare and extract information using software systems
Perform clerical duties including filing, photocopying, typing, and database maintenance
Perform other related duties as required

Requirements

What you’ll need

High School Diploma or Equivalent
1 year of work experience
Experience and proficiency using Microsoft Office Suite software
Or an equivalent combination of education and experience
Knowledge of principles and processes for providing customer and personal services
Knowledge of administrative and clerical procedures and systems
Skill in active listening and asking appropriate questions
Skill in understanding implications of new information for problem solving and decision-making
Skill in using mathematics to solve problems
Skill in selecting and using training/instructional methods and procedures
Skill in managing one's own time and actively looking for ways to help people
Must reside in Nebraska
Fluency in Spanish with the ability to translate documents, if applicable to the position
Experience with medical terminology preferred

Benefits

Comp & perks

Medical, dental, and vision coverage
Prescription drug coverage
Health care flexible spending account
Dependent care flexible spending account
Aflac supplemental Accident, Cancer, Critical Illness and Hospital Indemnity policies at no cost to employees
401(k) plans
Annual bonuses
Opportunity to purchase company stock
11 paid holidays annually
Up to 20 days PTO to be used for any reason
State-mandated sick leave, if eligible
Other leaves of absence, including adoption and parental leave, if eligible