Entry Level Risk Adjustment Coder Jobs in Omaha, NE

Mutual of Omaha is hiring for a Special Risk Claim Analyst position. In this role, you will be responsible for handling participant accident claims for college athletes, focusing on the thorough review, analysis, investigation, and determination of benefits. You will be required to perform accurate data entry, imaging and system updates related to claims, policy, eligibility and correspondence to support proper claim set up.  In this role you will also actively analyze various documents, including diagnosis codes, and gather extensive information, often secondary to initial insurance assessments. The ability to organize meticulously and pay close attention to detail is crucial. Each claim presents a unique challenge, necessitating strong communication skills and the capacity to collaborate both internally and externally to ensure timely and accurate claim processing. This role demands a proactive approach to managing a diverse workload and delivering precise results. If you excel in dynamic environments and are keen on making a significant impact in the insurance sector, we encourage you to apply.   This role is a hybrid position that will be located at our Corporate Headquarters in Omaha, NE. 

WHAT WE CAN OFFER YOU:

• Hourly Wage: $20.50 - $21.00, plus annual bonus opportunity.
• 401(k) plan with a 2% company contribution and 6% company match.
• Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details.
• Applicants for this position must not now, nor at any point in the future, require sponsorship for employment.

WHAT YOU'LL DO:

• Manage Claims: You will delve into claims, conducting thorough reviews and analyses to determine benefits. Your work will be guided by policy provisions and government regulations, where you'll apply rules and procedures with precision and limited discretion.
• Resolve and Execute Claims: Once all questions related to a claim are resolved, you'll be responsible for initiating payments or denials through our claims system, adhering strictly to our policy guidelines.
• Adjust and Update: You may also handle routine or manual adjustments to claims, ensuring accuracy and attention to detail.
• Stay Informed and Inform: Keep up-to-date with industry changes, federal and state regulations, and internal process adjustments.
• Drive Quality and Efficiency: Achieve and exceed predetermined productivity and quality standards, contributing actively to our continuous improvement initiatives by identifying and implementing process enhancements.

WHAT YOU'LL BRING:

• Industry Expertise: Proficient in applying policies and understanding regulations, with solid knowledge of our products and claim processes. Good understanding of medical terminology to aid in claim handling.
• Tech Savvy: Comfortable using various software for word processing, spreadsheets, email, and presentations.
• Strong Organizational Skills: Excellent at managing tasks with precision and independence, capable of delivering results under tight deadlines.
• Analytical Thinker: Sharp analytical skills for effective problem-solving and decision-making.
• You promote a collaborative culture, value different ideas and opinions, and listen courageously, remaining curious in all that you do.
• Able to work at our office located in Omaha, NE, in a hybrid environment.

PREFERRED:

• Experience as a Claim Analyst or other claims environment.
• Special Risk Product knowledge.

We value unique experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! 

If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status.

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