Remote Medical Claims Specialist - Workers' Comp

Bhhc; Omaha (NE); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Paid Time Off

Paid Holidays

Tuition Reimbursement Program

Employee Assistance Program

Diversity, Equity and Inclusion

Job summary

Berkshire Hathaway Homestate Companies in Omaha, NE seeks a Medical Claims Specialist after completing the Medical Claims Training Program. You will manage a caseload of workers’ compensation medical-only claims from inception to resolution.

The role emphasizes learning medical and legal subjects, using claims systems, and collaborating with client contacts. A hybrid schedule with on-site and remote days supports work-life balance.

Qualifications

• Must have at least a High School Diploma or equivalent.
• Administrative experience in law, medicine, or insurance/workers compensation is useful but not required.
• Ability to apply common sense and solve problems with multiple variables.

Responsibilities

• Assist in determining coverage for new claims and manage claims from inception to resolution.
• Investigate new claims to determine compensability, severity, and relevant details.
• Maintain accurate documentation and communicate findings to supervisors and clients.

Skills

Communication

Negotiation

Education

High School Diploma

Tools

Microsoft Office Suite

Job description

Berkshire Hathaway Homestate Companies in Omaha, NE seeks a Medical Claims Specialist after completing the Medical Claims Training Program. You will manage a caseload of workers’ compensation medical-only claims from inception to resolution.

The role emphasizes learning medical and legal subjects, using claims systems, and collaborating with client contacts. A hybrid schedule with on-site and remote days supports work-life balance.