Special Investigations Specialist

2 weeks ago

Omaha, United States National Indemnity Company Full time

Company:

NICO National Indemnity Company


As a member of the Berkshire Hathaway group of insurance companies, we offer outstanding opportunities for professionals interested in working with a successful company. We offer unparalleled financial strength, stability and "large company" benefits, in addition to an exciting, friendly, "small company" atmosphere.

National Indemnity Company, a leading property/casualty member of the Berkshire Hathaway group of insurance companies, has an immediate opening in its Special Investigation Unit.

The successful candidate will identify, investigate and respond to potentially fraudulent insurance claims through the use of restricted, subscription-based and public databases, use of private investigators and by other means. The SIU Specialist also will locate and provide information regarding specific vehicles, entities or individuals, and investigate false insurance documents. In addition, this position will provide fraud prevention materials, training and assistance to Claim Examiners, Underwriters and other Company personnel, and will compile information required by insurance regulatory authorities regarding Company fraud prevention activities.

This position will be located in Omaha Nebraska, and hybrid at management discretion.

Essential Duties and Responsibilities:

1. Respond to fraud related inquiries and referrals to SIU from Claim Specialists and Examiners and from automated initial screening system; search restricted, subscription-based and public databases, making maximum use of web-based resources; identify circumstances potentially requiring retention of investigators and/or referral to regulatory or law enforcement authorities; coordinate with independent adjusters, investigators, law enforcement and regulatory authorities, to provide and obtain information for enhanced investigation of particular Claim Files.
2. Review, classify, log and track inquiries and referrals to SIU, applying guidelines to determine whether providing information is sufficient or further SIU action is appropriate.

3. Initiate and complete reporting of suspicious insurance acts to appropriate state regulatory agencies, the National Insurance Crime Bureau and law enforcement, when required.
5. Create and maintain a positive and close working relationship between SIU and Claim Examiners and Claim Specialists; assist in preparing materials and present fraud prevention training to Claims Department and Underwriting units; encourage referrals to SIU of circumstances indicating high potential for fraudulent information or conduct; prepare and distribute information to Claims Department regarding improved claim resolutions resulting directly from Examiner and Specialist referral and inquiries to SIU.
6. Perform data mining of internal systems to detect Insured, Claimant or vendor reporting, payment or other patterns indicating potentially fraudulent information or conduct; identify potentially fraudulent information or activities revealed by inquires and referrals to SIU and in providing appropriate SIU response to all inquiries and referrals.
7. Research, collect and organize claim data and prepare and complete periodic reports required by insurance regulatory authorities regarding fraud prevention activities of primary, BHHC and selected affiliated companies; maintain a comprehensive, well-organized and logically consistent system for recording all significant SIU actions and retaining all SIU-related materials in the ClaimCenter or other appropriate claims management systems, ImageRight and elsewhere; design and prepare charts, spreadsheets, and other visual aids and materials for presentations to management, counsel, law enforcement and regulatory authorities regarding general and specific SIU activities; review, approve within authority, and pay bills from investigators/vendors retained by SIU.
8. Perform other duties as assigned.

Qualifications:

Bachelor Degree or equivalent

Investigation through web-based resources or otherwise

1 to 2 years related work experience

Excellent oral and written communication

Evaluation and analysis

Maintain strict confidentiality

Work independently within established authority

Analyze data, apply knowledge and logic, and draw conclusions

Set priorities, manage time, make decisions, and meet deadlines

Works well with others.

A comprehensive benefits package is available for regular, full-time employees, including health, vision, dental, life and disability insurance as well as a 401(k) with company match. We also proudly offer 100% upfront tuition reimbursement to regular, full-time employees, to further your education. Our Omaha office boasts a complimentary state-of-the-art, on-site gym, a robust wellness program, low-cost downtown parking, and numerous volunteer and networking opportunities with other emerging professionals.

  • Recovery Specialist

    2 days ago

    Omaha, United States National Indemnity Company Full time

    Company: NICO National Indemnity Company As a member of the Berkshire Hathaway group of insurance companies, we offer outstanding opportunities for professionals interested in working with a successful company. We offer unparalleled financial strength, stability and "large company" benefits, in addition to an exciting, friendly, "small company"...

  • Special Education Teacher

    2 weeks ago

    Omaha, United States Prime Home Developmental Disabilities Services Full time

    Job DescriptionJob DescriptionSalary: $58,000 to $66,000Job Title: Special Education TeacherCompany: Prime Home DDS, Inc.Location: Papillion, NEType: Full-Time EmploymentBenefits: Competitive Compensation, Career Advancement Opportunities, Great Work EnvironmentGeneral Summary:Prime Home DDS, Inc. is looking for a dynamic Special Education Teacher to join...

  • Special Education Teacher

    4 days ago

    Omaha, United States Prime Home Developmental Disabilities Services Full time

    Job DescriptionJob DescriptionSalary: $58,000 to $66,000Job Title: Special Education TeacherCompany: Prime Home DDS, Inc.Location: Papillion, NEType: Full-Time EmploymentBenefits: Competitive Compensation, Career Advancement Opportunities, Great Work EnvironmentGeneral Summary:Prime Home DDS, Inc. is looking for a dynamic Special Education Teacher to join...

  • Program Support Assistant

    Found in: beBee S US - 6 days ago

    Omaha, United States Department Of Veterans Affairs Full time

    Summary The Credentialing Specialist is assigned to the Credentialing and Privileging Office, which is under the Chief of Staff at a VA Medical Center (VAMC) and is responsible for providing administrative and technical direction and support to the credentialing operations. The...

  • Billing Specialist

    3 weeks ago

    Omaha, United States The Reserves Network Inc Full time

    Job DescriptionJob DescriptionYour New Organization: When you step into the role of the billing specialist, you unlock endless possibilities for yourself, our client, and the community they serve. Your previous data entry experience will strengthen this fast-paced environment. Our client, who specializes in advertising, digital marketing, and public...

  • Billing Specialist

    2 days ago

    Omaha, United States The Reserves Network Inc Full time

    Job DescriptionJob DescriptionYour New Organization: When you step into the role of the billing specialist, you unlock endless possibilities for yourself, our client, and the community they serve. Your previous data entry experience will strengthen this fast-paced environment. Our client, who specializes in advertising, digital marketing, and public...

  • Lead EHS Specialist

    14 hours ago

    Omaha, United States JLL Full time

    JLL supports the Whole You, personally and professionally. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology to our clients. We are committed to hiring the best, most talented people in our industry; and we support them through professional growth, flexibility, and...

  • Special Education Supervisor

    2 weeks ago

    Omaha, United States Heartland Family Service Full time

    At Heartland Family Service, we are committed to building a culture that is trauma informed that values and celebrates diversity and inclusion. We believe this allows for better service delivery and innovation, as it encourages our employees to bring various experiences and uniqueness to the workplace. Trauma Informed Care is an approach to engaging people...

  • Property Detailing Specialist

    2 weeks ago

    Omaha, United States Upscale Home Services Full time

    Job DescriptionJob DescriptionUpscale Home Services specializes in exterior home detailing services, making our customers’ properties look great. The Property Detailing Specialist will ensure projects are completed to exacting standards, and in accord with our industry-leading Customer Service Model. Projects include both one-time services & periodic...

  • Production Billing Specialist

    2 weeks ago

    Omaha, United States The Reserves Network, Inc. Full time

    Job DescriptionJob DescriptionYour New Organization: When you step into the role of production billing specialist, you unlock endless possibilities for yourself, our client, and the community they serve. Your previous data entry experience will strengthen this fast-paced environment.Our client, who specializes in advertising, digital marketing, and public...

  • LV/Telecom Specialist

    Found in: Talent US C2 - 3 weeks ago

    Omaha, United States hdr Full time

    LV/Telecom Specialist-(176519) Description About Us At HDR, we specialize in engineering, architecture, environmental and construction services. While we are most well-known for adding beauty and structure to communities through high-performance buildings and smart infrastructure, we provide much more than that. We create an unshakable foundation...

  • Property Detailing Specialist

    2 days ago

    Omaha, United States Upscale Home Services Full time

    Job DescriptionJob DescriptionUpscale Home Services specializes in exterior home detailing services, making our customers’ properties look great. The Property Detailing Specialist will ensure projects are completed to exacting standards, and in accord with our industry-leading Customer Service Model. Projects include both one-time services & periodic...

  • Customer Billing Specialist

    2 weeks ago

    Omaha, United States The Reserves Network Inc Full time

    Job DescriptionJob DescriptionWhen you step into the role of the customer billing specialist you unlock endless possibilities for yourself, our client company, and the community they serve. Your customer service expertise will strengthen a productive environment where quality is a way of life. What is in it for the customer billing specialist:Pay starting at...

  • Customer Billing Specialist

    3 days ago

    Omaha, United States The Reserves Network Inc Full time

    Job DescriptionJob DescriptionWhen you step into the role of the customer billing specialist you unlock endless possibilities for yourself, our client company, and the community they serve. Your customer service expertise will strengthen a productive environment where quality is a way of life. What is in it for the customer billing specialist:Pay starting at...

  • Investigator, SIU-Must reside in State Of Nebraska

    2 hours ago

    Omaha, NE, United States Molina Healthcare Full time

    JOB DESCRIPTION Job Summary The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse.  Duties include performing accurate and reliable medical review audits that may also include coding and...

  • Safety, Health

    Found in: Resume Library US A2 - 2 weeks ago

    Omaha, Nebraska, United States AECOM Full time

    Job Description AECOM has positions available for a Construction Safety Specialists in Omaha, NE, Council Bluffs, IA, and Cedar Rapids, IA. In this role the person will be working at client sites full-time and act as an owner's representative at large data center campus construction sites. As the owner's representative and along with the construction...

  • EHS Specialist

    2 days ago

    Omaha, United States JLL Full time

    JLL supports the Whole You, personally and professionally. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology to our clients. We are committed to hiring the best, most talented people in our industry; and we support them through professional growth, flexibility, and...

  • Quality Assurance Specialist

    Found in: beBee jobs US - 3 weeks ago

    Omaha, Nebraska, United States BAIG LLC Full time

    Job Opening Org. Setting and Reporting The role of the Quality Assurance Specialist is multi-dimensional, the primary role of the QA function is to act as an independent and objective control over data quality and through its activities providing insight into the effectiveness of a firm's data integrity controls. Reviewing and Monitoring of all processes...

  • Environmental Health

    2 days ago

    Omaha, United States Midwest Laboratories Full time

    The Environmental Health & Safety Specialist will conduct research for the purpose of identifying, abating, or eliminating sources of pollutants or environmental hazards and create plan of action to safely mitigate the problem. In addition, an environmental health and safety specialist will analyze current operational processes and performance, recommending...

  • Business Application Specialist

    Found in: beBee jobs US - 2 weeks ago

    Omaha, Nebraska, United States DMSi Software Full time

    As an independent, family-owned business, DMSi specializes in ERP Software for the Building Materials Industry. Used at over 1,600 locations across North America, Agility helps manage every aspect of the business, from purchasing and receiving to order fulfillment, warehousing, delivery, invoicing, and accounting, allowing businesses to modernize and...