Medical Claims Specialist - Hybrid Member Support

National Rural Electric Cooperative Association (NRECA); Lincoln (NE); Hybrid; USD 49,000 - 57,000; Full time

Benefits offered by this job

401(k) with employer match

Pension plan

Flexible hybrid work environment

Paid time off & holidays

Job summary

National Rural Electric Cooperative Association in Lincoln, NE, is seeking a detail‑oriented Medical Claims Associate for a hybrid schedule. You will answer member questions about benefits, claims, and payments, guiding them through the claims process with empathy and accuracy.

Qualified candidates have up to 12 months of claims experience, high school diploma or GED, and knowledge of medical insurance plans. Certifications welcome; strong Excel/Office skills required.

Qualifications

• High school diploma or GED required.
• Up to 12 months experience in medical claims processing.
• Medical Terminology Certification required, or the ability to obtain within 6 months.
• Inbound and outbound telephone customer service experience.
• Knowledge of medical insurance plans and healthcare benefits.
• Proficiency with Microsoft Office applications.
• Ability to report to the office when required.

Responsibilities

• Handle a steady volume of member calls with accurate, compassionate service.
• Explain medical, vision, and other benefits to help members understand coverage.
• Assist with questions about claims, EOBs, eligibility, and payments.
• Research and resolve member concerns; escalate complex issues as needed.
• Document calls and follow-ups; maintain records per procedures.

Skills

Customer service

Phone support

Detail oriented

Communication

Education

High school diploma or GED

Associate degree

Tools

Microsoft Office

Job description

National Rural Electric Cooperative Association in Lincoln, NE, is seeking a detail‑oriented Medical Claims Associate for a hybrid schedule. You will answer member questions about benefits, claims, and payments, guiding them through the claims process with empathy and accuracy.

Qualified candidates have up to 12 months of claims experience, high school diploma or GED, and knowledge of medical insurance plans. Certifications welcome; strong Excel/Office skills required.