Specialty Claims Associate

NRECA•Lincoln, NE

8d•Hybrid

About The Position

NRECA is seeking a Specialty Claims Associate to join our Insurance & Financial Services team in Lincoln, Nebraska. NRECA is the national trade association representing more than 900 consumer-owned electric cooperatives across the United States. We provide advocacy, financial services, and business solutions that help electric cooperatives serve their communities. The work in the Insurance & Financial Services department (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. The Specialty Claims Associate processes and adjudicates FSA and HRA claims, research claim information, and delivers exceptional member service while meeting productivity and quality standards.

Requirements

High school diploma or GED
Medical office experience with exposure to medical billing, claims processing, verifying medical benefits with insurance companies, or has at least two years in healthcare or insurance related field.
Effective telephone customer service skills.
Knowledge of medical insurance plans and healthcare benefits.
Strong interpersonal skills and member service orientation.
Strong analytical and problem-solving skills.
Excellent customer service and communication skills.
Proficiency with Microsoft Office applications.
Ability to manage multiple priorities with attention to detail.
Ability to report to the office when required.

Nice To Haves

Associate degree in a business-related field
Experience in FSA/HRA plans, claims processing.

Responsibilities

Process FSA and HRA claims accurately and efficiently.
Review and analyze claim documentation and eligibility.
Respond to member inquiries via phone, email, fax, and correspondence.
Analyzes and responds to requests for information and claim reconsideration reviews and follows policies and procedures to make decisions on reconsideration requests.
Re-adjudicates basic claim corrections on the claim software.
Communicate with members and providers regarding claim status.
Maintain accurate claim records and documentation.