Specialist, Appeals Claims

**Date:** May 20, 2026 **Primary Location:** Omaha, NE, US **Company:** Lincoln Financial **Alternate Locations:** Charlotte, NC (North Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of a commutable distance to an office location. **Relocation assistance:** is not available for this opportunity. **Requisition \#:** 76084 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter expert to provide full, fair appeal reviews for multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and applying knowledge. You will analyze and manage a caseload of appeals claims. You will review, investigate, and make claim determinations regarding coverage, compensability, and appropriateness of claims. You will provide technical information and detailed guidance to Claims management \& teams regarding products, claims processes, regulations, and applicable systems for their assigned claims area. If this sounds like a role for you, please read on!**What you'll be doing** * Analyze \& process claims by investigating \& obtaining a wide range of complex information. Apply claim policies \& procedures and engages intervention of internal/external resources to ensure fair, ethical, \& timely management of assigned claims. * Analyze and interpret complex coverage contracts to determine if eligibility is met. * Identify, interpret, and resolve gaps in financial calculations and offsets when applicable, share technical knowledge and approach on financial calculations with team members that involve complex contract provisions. * Research questions and escalations from Claims team; liaises with various stakeholders from across the business (Underwriting, Actuarial, Compliance, Account Management, etc.) to obtain needed information to clarify and address issues. * Provide customers with in\-depth explanations of policy details, claim process, and claim determination; ensure parties understand the information and outcome. * Utilize internal reporting to identify trends and review/audit performance against team metrics; propose and develop practices \& processes to improve performance and the customer experience. * Effectively utilize and implement policies \& procedures regarding medical terminology, duration, functionality documentation, and overall claims workflow. Provide detailed guidance \& coaching to junior team members. **What we’re looking for** *Must\-have:* * 4 Year/Bachelor's degree or equivalent work experience (4 years of experience in lieu of Bachelor's) * 1 \- 3\+ Years of Short\-Term and/or Long\-Term Disability. (Required) * Ability to communicate effectively (verbal/written) * Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) *Nice\-to have:* * Experience working with multiple products. * Presentation training or skills