3 claims unit supervisor jobs found in Omaha

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies has an opening in our Omaha, Nebraska office for a Medical Claims Specialist.  After successful completion of the Medical Claims Training Program, this individual will manage a caseload of workers’ compensation medical-only claims from inception to resolution.   ESSENTIAL RESPONSIBILITIES Successfully completes the Medical Claims Training Program. In classroom training, is attentive, takes notes, asks appropriate questions, participates successfully in exercises, and demonstrates mastery of the subject material. In the Medical Claims Unit, asks appropriate questions, exhibits continuous improvement under the guidance of the supervisor, and demonstrates mastery of fundamental adjusting knowledge, skills, and strategy. Learns medical subjects including anatomy, physiology, terminology, pharmacology, causation, nature of the injury, and diagnostic and treatment methodology. Learns legal subjects...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description PURPOSE OF THE JOB: This position is responsible for daily operations of underwriting unit; ensures reinstatement and policy change applications are handled promptly and accurately and according to underwriting guidelines, as well as state and federal legislation, and may also underwrite policies. This role manages workflow to meet established Service Level Agreements. Has heavy involvement in special projects, committees, and underwriting direction. ESSENTIAL FUNCTIONS: Requires sophisticated...

WHAT WE'RE LOOKING FOR The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review.  ONSITE REQUIREMENT (NON-NEGOTIABLE) This is a hybrid opportunity, requiring initial onsite training and, upon successful completion of same, a minimum requirement of three days per work week in our Omaha, NE office.   ESSENTIAL RESPONSIBILITIES Triage and manage intake coordination of requests for authorization and independent medical review requests. Examine requests for legibility and take appropriate action to ensure accuracy of data entry and documentation. Correctly identify medical documents and index to claim files as instructed. Efficiently organize, prepare, image and download medical reports and claim letters while maintaining data integrity. Accurately enter data timely to track independent medical requests and final determinations....