Medical Claims Specialist – Hybrid/Remote Training Path

Berkshire Hathaway Homestate Companies - Workers Compensation Division

Omaha (NE)

On-site

USD 44,000 - 62,000

Full time

14 days+
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Benefits offered by this job

Work From Home (up to 2 days/wk)
Free On-Site Fitness Facility
Free On-Site Garage Parking

Job summary

Berkshire Hathaway Homestate Companies in Omaha, Nebraska is seeking a Medical Claims Specialist to manage a caseload of workers’ compensation medical-only claims from inception to resolution after successful completion of the Medical Claims Training Program.

This role emphasizes learning medical and legal subjects, mastering claims software, and ensuring accurate reserves, notices, and filings in compliance with applicable laws, with an on-site office and a Work From Home option up to 2 days

Qualifications

  • Administrative experience in law, medicine, insurance/workers compensation, telephonic communication, or negotiation.
  • Able to apply common sense to carry out instructions and solve problems with several concrete variables.

Responsibilities

  • Completes the Medical Claims Training Program.
  • Manages a caseload of workers’ compensation medical-only claims from inception to resolution.
  • Learns to use computer systems employed in claims management and communicates effectively with clients and staff.
  • Determines coverage and investigates new claims, reserves appropriately, and ensures compliance with legal requirements.

Skills

Administrative experience
Reasoning ability

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite
Proprietary software

Job description

Berkshire Hathaway Homestate Companies in Omaha, Nebraska is seeking a Medical Claims Specialist to manage a caseload of workers’ compensation medical-only claims from inception to resolution after successful completion of the Medical Claims Training Program.

This role emphasizes learning medical and legal subjects, mastering claims software, and ensuring accurate reserves, notices, and filings in compliance with applicable laws, with an on-site office and a Work From Home option up to 2 days

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