Work Comp Claims Specialist — Resolve & Advocate

Nebraska Orthopaedic Center, PC; Lincoln (NE); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Disability insurance

Employee assistance program

Flexible spending account

Free parking

Health insurance

License reimbursement

Life insurance

Paid time off

Tuition reimbursement

Vision insurance

Job summary

Nebraska Orthopaedic Center, PC is seeking a Work Comp Specialist in Lincoln, NE to manage workers' compensation claims from intake to resolution. The role emphasizes follow-up with insurers, authorization, documentation, and communication with physicians and the work-comp team to coordinate care and status updates.

The successful candidate will have a high school diploma or GED, knowledge of workers' compensation processes, strong computer skills, and the ability to work well within a team

Qualifications

• Knowledge of the work comp process and procedures.
• Strong communication and teamwork skills.
• Proficient with standard office computer systems.

Responsibilities

• Follow up on unpaid claims with insurance companies or adjusters.
• Review daily correspondence with insurers, attorneys, and schedulers.
• Obtain pre-authorization for physician procedures.
• Post charges for narratives and mail claim documents.
• Maintain communication with physicians and work comp team about status changes.
• Appeal denials and underpayments of claims.
• Set up new Work Comp patients in the system.
• Ensure regular and reliable attendance.

Skills

Work Comp process

Communication skills

Teamwork

Computer skills

Education

High School diploma or GED

Job description

Nebraska Orthopaedic Center, PC is seeking a Work Comp Specialist in Lincoln, NE to manage workers' compensation claims from intake to resolution. The role emphasizes follow-up with insurers, authorization, documentation, and communication with physicians and the work-comp team to coordinate care and status updates.

The successful candidate will have a high school diploma or GED, knowledge of workers' compensation processes, strong computer skills, and the ability to work well within a team