4 senior attorney jobs found

Job Description: Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead – our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate – pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own. We're actively seeking a talent Operations Risk Support Specialist to join our Ops Risk Support team in Newport Beach, CA or Omaha, NE. This role is hybrid with a one day a week office requirement. As an Operations Risk Support Specialist, you’ll move Pacific Life, and your career forward by partnering with Compliance and the business areas by researching...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team.  The individual ensures that medical treatment requests from providers are medically appropriate and reviewed in compliance with State laws and Company policies.    ESSENTIAL RESPONSIBILITIES Triages and manages intake coordination of requests for authorization and independent medical review requests.  Reviews authorization requests for approval in accordance with evidence-based medical treatment guidelines.  Researches claim files in relation to the requested medical treatment, interprets medical reports while utilizing critical thinking, and applies appropriate established guidelines to requested treatment.  Advocates for the injured worker and Claims department, ensuring proposed treatment requests are appropriate for the diagnosis.  Escalates treatment requests outside of authorization...

WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker’s treatment are effective, efficient, and in accordance with applicable legal requirements. This is a full-time, permanent position within our Medical Management team and that will allow experienced nurses to put their years of clinical knowledge to use in an office environment and learn new skills in this growing industry. No UR experience required!   ESSENTIAL RESPONSIBILITIES Review complex workers compensation medical treatment requests to ensure accordance with evidence-based medical treatment guidelines, which are generally recognized by the national medical community and are scientifically based. Research claim file in relation to the requested medical treatment while interpreting medical reports/claims summaries and applies appropriate established guidelines to requested treatment. Refers...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate opportunity for a Senior Claims Professional. This adjuster will be a self-starter who can work under minimum direction, achieve defined results, and accept ownership of their work product.   HOW YOU'D CONTRIBUTE TO THE TEAM Aids injured workers achieving rapid and full medical recovery and early, safe return to work through effective, efficient and timely medical treatment and return-to-work support. Effectively communicates with injured workers and employers. Demonstrates expertise and empathy, building trust and moving the claim forward, including timely three-point contacts on all new losses. Manages claims with an outcome-based and resolution focus. Demonstrates highly effective strategic plans for future handling that are well outlined in plans of action and followed through in a timely fashion. Demonstrates effective decision-making in...