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Natural Rural Electric Cooperative Medical Claim Associate in Lincoln, Nebraska

  • Under supervision, investigates and analyzes medical claims and issues related to eligibility, benefit coverages, network, and pricing.

  • Processes medical claims. Determines when to pay or deny claims and issues benefits while achieving the quality and daily production requirements.

  • Answers incoming calls, emails, faxes, and written correspondence regarding customer inquiries or complaints with benefit correction requests.

  • Analyzes and responds to requests for information and claim reconsideration reviews.

  • Makes outbound calls to members or service providers as necessary.

Will be expected to work remotely until employees can safely transition back to the office. This is not a regular scheduled remote position.

Training Schedule: M-F, 7:30 p.m. – 4:15 p.m. (approximately 3 months)

Regular Work Schedule - M-F, 8:15 a.m. – 5:00 p.m. with a rotating alternate work schedule of 9:15 a.m. – 6:00 p.m., 2-3 days per month