Disability Claims Specialist
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About the role
Under general supervision, reviews, investigates, and analyzes disability claim information for the NRECA membership in accordance with established policy provisions, procedures, and service standards. Evaluates claims using standardized guidelines and escalation protocols, with support from senior staff and leadership and treats each disability claim as an individual case by researching the claimant's education, training, experience, functional limitations, and identifying potential opportunities for return to work where appropriate. Assists in developing recommended plans of action for assigned claims and maintains high standards of customer service while meeting productivity and timeliness expectations. Applies judgment within defined parameters to support the development and execution of a claim management approach, escalating complex, disputed, or unusual cases to senior specialists or management. Position is eligible for NRECA's hybrid schedule which allows flexibility to work from home up to 2 days per/week.
Requirements
- Education, Experience, and Certifications Required
- Associate degree in business or related field or 3 years of experience in disability or workers compensation claims processing working with group insurance plans and service providers.
- Insurance coursework or designations obtained through organizations such as LOMA, AHIP, ICA, and IFEBP.
- Three years of claims related experience in the areas of disability, workers' compensation, medical dental, and/or life insurance.
- Knowledge, Skills and Abilities Required (as demonstrated by prior work experience)
- Knowledge of the disability claims lifecycle, integrating medical evidence, vocational factors, functional limitations, and policy provisions to support consistent decisions.
- Strong analytical and critical thinking skills with sound decision-making within established policies and authority levels.
- Clear and professional verbal and written communication, effectively engaging diverse members and employees using approved messaging; and with the ability to speak the English language both fluently and clearly.
- Ability to identify, investigate, and document issues accurately.
- Strong customer service skills, including active listening, needs assessment, and de-escalation of challenging situations.
- Accountable for attendance and adherence to a hybrid work schedule.
- Ability to report to the office when required.
- Work Schedule
- 8:15 - 5:00 p.m., Monday through Friday; Hybrid Schedule - 3-days days in-office (Tuesdays and Thursdays required; one additional day of your choice); 2 days from home.
- Essential Physical Requirements
- Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.
- Primarily sedentary work with extended periods of sitting.
- Close visual acuity for computer work and data analysis.
- Manual dexterity for frequent keyboard use.
- Occasional light lifting (up to 10 lb).
- Effective communication in person, by phone, and via email.
- Additional Requirement:
- NRECA is committed to working with and
Benefits
Additional Information
Job Description Make a Difference at NRECA and Join Us as a Disability Claims Specialist in Lincoln, NE! Are you passionate about helping others and making a meaningful impact? Join a team that's proud to be named one of Lincoln's Best Places to Work ! At NRECA, we're looking for a compassionate and detail-oriented Disability Claims Specialist. Apply today and help us continue delivering excellence to our members! About NRECA & Insurance & Financial Services (I&FS) NRECA is a unique national trade association providing advocacy, financial services, and business support services to over 900 consumer owned electric cooperatives across the country. NRECA employees are united by our mission, inclusive culture, collaborative workplace, and commitment to service excellence. As a "best place to work" employer, we operate with integrity, transparency, and a spirit of innovation. NRECA offers competitive compensation and a comprehensive benefits package, including medical, dental, and vision coverage, a matching 401(k) and pension plan, wellness programs, professional development opportunities, and a supportive, team-oriented culture that values your contributions. The work in I&FS is diverse, intellectually engaging, and deeply impactful. They foster a culture of belonging, driven by values like communication, creative problem-solving, and accountability. If you're motivated by purpose, enjoy variety, and care about people and outcomes, this is the team for you.
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