Berkshire Hathaway Homestate Companies

Medical Claims Specialist

Omaha, Nebraska

Sponsorship not specifiedDetected 145 days ago

RESTNegotiationAPI TestingPharmacologyCommunicationMicrosoft Office

About the role

Able to deal with problems involving several concrete variables in standardized situations. - COMPUTER SKILLS: Able to effectively use Microsoft Office Suite applications.
Our differences make us stronger and better together, which fosters a harmonious workplace-something we truly value.

Manages each claim to an appropriate and successful resolution.
That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success.

EXPERIENCE: Administrative experience in the areas of law, medicine, insurance/workers compensation, telephonic communication, or negotiation is useful but not necessary.
Minimum of High School Diploma or equivalent certificate required.

After successful completion of the Medical Claims Training Program, this individual will manage a caseload of workers' compensation medical-only claims from inception to resolution.

Successfully completes the Medical Claims Training Program.
In the Medical Claims Unit, asks appropriate questions, exhibits continuous improvement under the guidance of the supervisor, and demonstrates mastery of fundamental adjusting knowledge, skills, and strategy.
Learns medical subjects including anatomy, physiology, terminology, pharmacology, causation, nature of the injury, and diagnostic and treatment methodology.
For clients who are provided with a dedicated Claims Medical Specialist, establishes and maintains a sound working and communication relationship with the client's contact personnel.
Determines coverage for new claims.
WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies has an opening in our Omaha, Nebraska office for a Medical Claims Specialist.
After successful completion of the Medical Claims Training Program, this individual will manage a caseload of workers' compensation medical-only claims from inception to resolution.
Ensures that benefits are provided in accordance with the law and that the claim as a whole is managed in accordance with all legal requirements including the issuance of appropriate notices and filings.
Fosters a positive and close working relationship with other Company staff, including the Call Center, Medical Management teams, Client Services, and indemnity Adjusting staff.

With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast.
Relationships are the cornerstone of our culture, and we believe in doing the right thing.
Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves.
We've created an approachable and collaborative atmosphere.
Here you'll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work.
Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.
ABOUT US With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast.

This listing is sourced directly from Berkshire Hathaway Homestate Companies's careers page and normalized into a canonical job model.