Specialty Claims Representative

Applied Underwriters•Omaha, NE

23d•Onsite

About The Position

The Specialty Claims Representative manages Deposit Waiver, State Disability and Paid Family Leave insurance claims by thoroughly investigating and documenting each case and evaluating eligibility for benefits. This includes calculating accurate disability rates, setting appropriate reserves, and issuing timely payments. This position works closely with medical providers, insureds, injured employees, and state entities to ensure proper communication is maintained throughout the entire claim and deadlines are met.

Requirements

Associates degree or 2 years of professional office work experience
Proficient with computer software including Microsoft Word, Excel, Outlook, and Edge

Responsibilities

Manages Deposit Waiver, State Disability and Paid Family Leave insurance claims.
Investigates and documents each case.
Evaluates eligibility for benefits.
Calculates accurate disability rates.
Sets appropriate reserves.
Issues timely payments.
Works closely with medical providers, insureds, injured employees, and state entities.
Ensures proper communication is maintained throughout the entire claim.
Ensures deadlines are met.

Benefits

100% employer-paid medical, dental, and vision insurance for employees
401(k) plan with 100% immediate vesting and a 4% company match
Paid time off (PTO) and paid holidays
On-site pharmacy, Promesa, provides convenient prescription delivery directly to you
Life, disability, critical illness and accident insurance
Employee Assistance Program (EAP)
Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses
Tuition reimbursement
Fitness reimbursement
Various additional quality-of-life benefits