Nurse Disability Claim Advisor

Job Description

Make a Difference at NRECA and Join Us as a Nurse Disability Claims Advisor (Lincoln NE)!

Are you passionate about helping others and making a meaningful impact At NRECA were looking for a compassionate and detail-oriented Nurse Disability Claims Advisor.

About NRECA

NRECA is a unique national trade association providing advocacy financial services and business support services to over 900 consumer owned electric cooperatives across the country. NRECA employees are united by our mission inclusive culture collaborative workplace and commitment to service excellence. As a best place to work employer we operate with integrity transparency and a spirit of innovation.

About the Insurance & Financial Services Team

Join a dynamic and inclusive team that administers industry-leading employee benefit plans. Our work is diverse intellectually engaging and deeply impactful. We foster a culture of belonging driven by values like communication creative problem-solving and accountability. If youre motivated by purpose enjoy variety and care about people and outcomes this is the team for you.

Job Summary

• This role serves as the clinical backbone of the disability claims process translating complex medical information into clear actionable guidance for claims staff and leadership.

• It evaluates medial conditions validates restrictions and partners with external case management resources to support recovery timelines and return to work potential.

• It also delivers responsive knowledgeable support to members providers and participants across NRECAs disability plans ensuring a smooth and informed experience for all involved.

• Positioniseligible for NRECAs hybrid schedule whichallows flexibility to work from home up to 2 days per/week.

What Youll Do

• Collaborate with staff Benefit Administrators and members by providing clinical insight.

• Review new and ongoing disability claims that need a clinical evaluation and contact providers and vendors if needed.

• Document all findings for the case.

• Work assigned block of Long & Short-term Disability cases and help the claim specialists with various duties follow-up and correspondence.

Qualifications

Whats Required of You

• Bachelor of Science in Nursing (BSN) with a current RN license or an accredited Nursing Diploma/Associate Degree program with 10 years of clinical and/or case management experience.

• Minimum of 5 years in nursing and/or medical case management.

• Strong medical/surgical background preferred.

• Case Management Certification preferred.

• Knowledge of medical conditions which cause disabilities.

• Experience with workers compensation claims helpful.

• Ability to communicate orally and in writing effectively with a diverse membership employees medical professionals agencies and/or vendors.

• Ability to perform and work on multitasks while being flexible and coping effectively with changing conditions.

• Ability to report to the office when required.

Work Location: Lincoln NE

Hybrid Schedule: 3 days in-office (Tuesdays and Thursdays required; one additional day of your choice) and 2 days remote. Must live within a commutable distance from the Lincoln office.

What Youll Gain

• Competitive compensation and outstanding benefits.

• Medical dental and vision insurance.

• Matching 401(k) and pension plan.

• Wellness programs and professional development opportunities.

• A supportive team and a culture that values your contributions.

Essential Physical Requirements

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

• Primarily sedentary work with extended periods of sitting.

• Close visual acuity for computer work and data analysis.

• Manual dexterity for frequent keyboard use.

• Occasional light lifting (up to 10 lbs).

• Effective communication in person by phone and via email.

Ready to take the next step in your NRECA journey and join a team thats proud to be named one of Lincolns Best Places to Work! Apply today and help us continue delivering excellence to our members!

Disclaimer Statement: The preceding job description has been written to reflect managements assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned.

Additional Requirement:

The preceding job description has been written to reflect managements assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. All qualified applicants will receive consideration for employment without regard to race color sex sexual orientation gender identity religion national origin disability veteran status or other legally protected status.

NRECA is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment please e-mail or call: - NRECA Arlington Human Resources. Please call - NRECA Lincoln Human Resources for Lincoln NE employment opportunities. We will make a determination on your request for reasonable accommodation on a case-by-case basis.

The U.S. Equal Employment Opportunity Commission (EEOC) recently released the Know Your Rights poster which updates and replaces the previous EEO is the Law poster and EEO Is the Law Poster Supplement.

Pay Transparency Non-Discrimination. NRECA will not discharge or in any other manner discriminate against employees or applicants because they have inquired about discussed or disclosed their own pay. Please see the Pay Transparency Nondiscrimination Provision for more information.

E-Verify. As a Federal Contractor NRECA is required to participate in the E-Verify Program to confirm eligibility to work in the United States. For information please click on the following link: E-Verify.

For more information about life at NRECA please visit .