Insurance Claims Examiner
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Job Location:
Lincoln, NE - USA
Monthly Salary:
Not Disclosed
Posted on:
3 hours ago
Vacancies:
1 Vacancy
Job Summary
The work we do matters!
Hiring Agency:
Insurance - Agency 22
Location:
Hiring Rate:
Job Posting:
Applications No Longer Accepted On (If no date is displayed job is posted as open until closed):
Job Description:
Look at what we have to offer!
13 paid holidays
Vacation and sick leave that begin accruing immediately
Military leave
156% (thats not a typo!) state-matched retirement
Tuition reimbursement
Employee assistance program
79% employer paid health insurance plans
Dental and vision insurance plans
Employer-paid $20000 life insurance policy
Public Service Loan Forgiveness Program (PSLF) through the Federal government
Wide variety and availability of career advancement as the largest and most diverse employer in the State
Opportunity to be part of meaningful work and make a difference through public service
Training and Development based on your career aspirations
Fun inviting teammates
A safe and secure environment
At the State we stand by our core values of treating others with dignity and respect acting ethically in all situations and creating an environment where our customer is our top priority. Apply to join our team today!
Job duties:Responds to telephone inquiries emails and letters from individuals requesting information pertaining to insurance practices products and premiums and to state and federal insurance-related law. Reviews incoming complaints to identify potential concerns or violations and to determine what information documentation and other evidence will be relevant and essential to the investigation. Corresponds with all entities involved i.e. consumers agents insurance company personnel medical providers attorneys and employers gathering information necessary to evaluate complaints Reports results of reviews to consumers. Reviews and evaluates complaint responses to ensure complainants concerns have been addressed and to ensure companies and agents have acted in accordance with Nebraska insurance statutes and Department of Insurance rules and regulations. Drafts letters to complainants to report outcome of investigations; Drafts memorandums and organizes evidence obtained in case investigations to submit to department counsel for consideration of administrative action. Utilizes State Based Systems (SBS) database to track case history/activity and to retrieve licensing information and extract data to create reports of company and producer complaint activity. Other duties as assigned within the scope of the classification.
Requirements/Qualifications
Minimum Qualifications: Bachelor degree in business or related field AND one year of experience in insurance industry or insurance regulation OR five years experience working in insurance industry or insurance regulation. Employee must have successfully completed all required on-the-job training to be eligible for this classification.
Other:Regular and reliable attendance is required.
Knowledge Skills & Abilities: Knowledge of: Nebraska insurance statutes and Department of Insurance rules and regulations; the overall operation of insurance companies; insurance principles and industry practices. Ability to: Interact with insurance representatives and complainants with diverse perspectives to resolve issues; Interpret and explain insurance contracts statutes rules and regulations; Identify and collect data and documents pertinent to the case; Understand and interpret relevant data and documents; interview complainants; Extract and compile statistical data; Make decisions and exercise sound judgment; Use a computer to create cases exchange information generate correspondence and track activity; learn new computer software programs. Skills in: Strong written and oral communication; Microsoft Outlook Microsoft Word and Microsoft Excel.
If youre currently employed by the State of Nebraska please dont apply through this external career site. Instead log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: offer a comprehensive package of pay benefits paid time off retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position agency and employment status. For more information on benefits please visit: Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity inclusion and belonging. We recruit hire train and promote in all job classifications and at all levels without regard to race color religion sex. age national origin disability marital status or genetics.
Key Skills
About Company
The Official Nebraska Government Website, Nebraska.gov is your link to all resources, news, statistics, & online services in the state of Nebraska. We enable citizens and businesses to interact with government, securely and efficiently.
