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Insurance Claims Examiner

Noll Human Resource Services Omaha, NE
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Job Description

Half-Day Fridays! Immediate opening for an experienced Insurance Claims Examiner. Work Monday-Thursday 7:30am-4:45pm and Friday 7:30am-12:15pm.

Why Should You Apply Now?

  • Awesome Benefits (health, dental and vision)
  • Paid vacation and holidays
  • No evenings or weekends
  • Paid garage parking

What Will You Do as a Claims Examiner?

  • Process long-term care insurance claims
  • Review invoices, monthly verification forms, care giver logs and/or Statement of Care forms, and other obtained claims documentation
  • Determine whether documentation substantiates that the policyholder continues to meet the level of care and services contained in the policy and approved by the Case Manager
  • Recognize and refer possible plan of care changes to Case Management Department based on established Department business rules
  • Identify and refer possible fraud cases to the AVP of Claims for further investigation
  • Assist management in preparing business memos to summarize claim payment processing and related activity associated with complaint cases if required
  • Process and document all required entries in the CAPS system
  • Maintain compliance with all applicable laws and regulations
  • Accurately complete documents and answer customer inquiries
  • Effectively communicate with customers and team members
  • Maintain confidentiality

Claims Examiner Requirements:

  • Proven knowledge of claims processing and regulatory requirements
  • Strong analytical skills and math aptitude
  • Ability to work in a team environment
  • Excellent organizational, attention to detail and multi-tasking abilities
  • Computer skills and proficient in Microsoft Office products
  • College degree preferred

What’s Next?

For immediate consideration, please submit your resume to Missy(@) nolljobs.com

**only the most qualified candidates will be contacted***

Job Details

Date Posted December 3, 2018
Date Closes December 18, 2018
Located In Omaha, NE
Job Type Full-time Employee
Compensation Hourly Wage, $15.00 - $15.50
Shift Custom
Mon: 7:30 am to 4:30 pm
Tue: 7:30 am to 4:30 pm
Wed: 7:30 am to 4:30 pm
Thu: 7:30 am to 4:30 pm
Fri: 7:30 am to 12:15 pm
SOC Category 43-9041.00 Insurance Claims and Policy Processing Clerks
Zipcode 68154
Name Missy Major- Weddle
Address 12905 West Dodge Road
City, State and Zip Omaha, NE, 68154
Phone 402-547-5802

This job requires the following skills

  • Clerical
  • Customer Service
  • Editing and Proofreading
  • Insurance Claims Processing - Long Term Care
  • Insurance Sales / Marketing - Health
  • Underwriting
  • Microsoft Office

Course(s) relevant to the skills listed for this position

Location