Recertification Claims Specialist

2 weeks ago

Omaha, United States Lincoln Financial Full time $53,500 - $92,500

Date: Nov 27, 2024

Primary Location: Omaha, NE, US

Company: Lincoln Financial

Alternate Locations: Work from Home
Work Arrangement: Remote : Work at home employee residing outside of a commutable distance to an office location.
Relocation assistance: is not available for this opportunity.
Requisition #: 73969
The Role at a Glance
We are excited to bring on a Recertification Claims Specialist to our claims organization. This position will be reviewing claims that have been approved for the change in definition, there will be no pended claims What you'll be doing
  • Communicating with claimants, employers and various medical professionals through phone and e-mail to gather information regarding Long Term Disability Claims and state and federal benefits when applicable.
  • Collaborating with fellow case managers, nurse case managers, vocational case managers, and consulting physicians to make appropriate, ethical, and timely claim determinations.
  • Reviewing complex medical records and effectively leveraging a variety of tools and resources to understand appropriate approval durations and future action planning throughout the life of the claim.
  • Providing exceptional customer service and proactively recognizing customer needs and areas of opportunity.
What we’re looking for Must-haves:
  • High School diploma or GED or minimum Associate degree in lieu of required experience.
  • 3-5 years of claims experience directly aligned to the specific responsibilities for this role or;
For candidates with an Associate degree, 0-1 year claims experience directly aligned to the specific responsibilities for this role.
  • Strong written and verbal communication skills.
  • Excellent organization skills with the ability to multi-task.

Application Deadline Applications for this position will be accepted through Friday, December 27. 2024, subject to earlier closure due to applicant volume.
What’s it like to work here? At Lincoln Financial Group, we love what we do. We make meaningful contributions each and every day to empower our customers to take charge of their lives. Working alongside dedicated and talented colleagues, we build fulfilling careers and stronger communities through a company that values our unique perspectives, insights and contributions and invests in programs that empower each of us to take charge of our own future.
What’s in it for you:
  • Clearly defined career tracks and job levels, along with associated behaviors for each Lincoln leadership Attribute.
  • Leadership development and virtual training opportunities
  • PTO/parental leave
  • Competitive 401K and employee benefits
  • Free financial counseling, health coaching and employee assistance program
  • Tuition assistance program
  • A leadership team that prioritizes your health and well-being; offering a remote work environment and flexible work hybrid situations
  • Effective productivity/technology tools and training
The pay range for this position is $53,500 - $92,500 with anticipated pay for new hires between the minimum and midpoint of the range and could vary above and below the listed range as permitted by applicable law. Pay is based on non-discriminatory factors including but not limited to work experience, education, location, licensure requirements, proficiency and qualifications required for the role. The base pay is just one component of Lincoln’s total rewards package for employees. In addition, the role may be eligible for the Annual Incentive Program, which is discretionary and based on the performance of the company, business unit and individual. Other rewards may include long-term incentives, sales incentives and Lincoln’s standard benefits package.
About The Company Lincoln Financial Group helps people to plan, protect and retire with confidence. As of Dec. 31, 2023, approximately 17 million customers trust our guidance and solutions across four core businesses – annuities, life insurance, group protection and retirement plan services. As of December 31, 2023, the company had $295 billion in end-of-period account balances, net of reinsurance. Headquartered in Radnor, Pa., Lincoln Financial Group is the marketing name for Lincoln National Corporation (NYSE: LNC) and its affiliates. Learn more at LincolnFinancial.com.
Lincoln is committed to creating a diverse and inclusive environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Follow us on Facebook, X, LinkedIn, and Instagram. For the latest company news, visit our newsroom.
Be Aware of Fraudulent Recruiting Activities If you are interested in a career at Lincoln, we encourage you to review our current openings and apply on our website. Lincoln values the privacy and security of every applicant and urges all applicants to diligently protect their sensitive personal information from scams targeting job seekers. These scams can take many forms including fake employment applications, bogus interviews and falsified offer letters. Lincoln will not ask applicants to provide their social security numbers, date of birth, bank account information or other sensitive information in job applications. Additionally, our recruiters do not communicate with applicants through free e-mail accounts (Gmail, Yahoo, Hotmail) or conduct interviews utilizing video chat rooms. We will never ask applicants to provide payment during the hiring process or extend an offer without conducting a phone, live video or in-person interview. Please contact Lincoln's fraud team at fraudhotline@lfg.com if you encounter a recruiter or see a job opportunity that seems suspicious.
Additional Information This position may be subject to Lincoln’s Political Contribution Policy. An offer of employment may be contingent upon disclosing to Lincoln the details of certain political contributions. Lincoln may decline to extend an offer or terminate employment for this role if it determines political contributions made could have an adverse impact on Lincoln’s current or future business interests, misrepresentations were made, or for failure to fully disclose applicable political contributions and or fundraising activities.
Any unsolicited resumes or candidate profiles submitted through our web site or to personal e-mail accounts of employees of Lincoln Financial Group are considered property of Lincoln Financial Group and are not subject to payment of agency fees.
Lincoln Financial Group (“LFG”) is an Equal Opportunity employer and, as such, is committed in policy and practice to recruit, hire, compensate, train and promote, in all job classifications, without regard to race, color, religion, sex (including pregnancy), age, national origin, disability, sexual orientation, gender identity and expression, Veteran status, or genetic information. Applicants are evaluated on the basis of job qualifications. If you are a person with a disability that impedes your ability to express your interest for a position through our online application process, or require TTY/TDD assistance, contact us by calling 260-455-2558.

  • Claims Intake

    1 month ago

    Omaha, United States Arch Capital Group Ltd. Full time

    Primary responsibility for all aspects of Claim intake for middle market claims including but not limited to Auto, General Liability, Workers Compensation and Property. The tasks would include:first notice of loss reports on phone callsgeneral custom Operations Specialist, Claims, Operations Manager, Intake, Operations, Specialist, Manufacturing, Insurance

  • Property Claims Adjuster

    3 weeks ago

    Omaha, Nebraska, United States Farm Bureau Financial Services Full time

    We are seeking a highly skilled Property Claims Representative to join our team at Farm Bureau Financial Services.As a Property Claims Representative, you will be responsible for investigating, evaluating, negotiating and settling assigned claims involving property-related insurance coverage.You will investigate the cause of the loss, interpret the policy,...

  • Claims Investigation Specialist

    1 day ago

    Omaha, Nebraska, United States Delta Group Full time

    Job DescriptionWe are seeking an experienced Insurance Fraud Investigator to join our team. As a key member of our Claims Investigations Division, you will investigate and identify questionable claims for our partners, collaborating with claims personnel and insurance carrier SIU staff.Your primary responsibilities will include:Conducting thorough...

  • Client Services Analyst

    2 months 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....

  • Compensation Benefits Specialist

    4 hours ago

    Omaha, Nebraska, United States Argo Group Full time

    Key ResponsibilitiesWe are seeking a highly capable Compensation Benefits Specialist to join our team at Argo Group. In this role, you will be responsible for managing claims in litigation, negotiating settlements, and processing mail and prioritizing workload.You will also analyze claims forms, policies, and endorsements, and determine whether the loss...

  • Anesthesiology Specialist in Omaha, NE

    3 weeks ago

    Omaha, Nebraska, United States Adelphi Medical Staffing, LLC Full time

    We are seeking a skilled Anesthesiology Specialist to join our team at Adelphi Medical Staffing, LLC. This locum tenens opportunity is ideal for a dedicated CRNA looking to gain experience in various cases.The estimated annual salary for this position is around $170,000 - $200,000, considering the high demand for Nurse Anesthetists in Nebraska and the...

  • Storm Damage Restoration Specialist

    1 day ago

    Omaha, Nebraska, United States Turtle Roofing Full time

    About the RoleWe are seeking a skilled Storm Damage Restoration Specialist to join our team at Turtle Roofing. As a representative, you will play a critical role in handling storm damage insurance claims and providing exceptional customer service to homeowners.The ideal candidate will have excellent communication skills, be physically able to climb a ladder,...

  • Home Health Nurse Specialist

    3 weeks ago

    Omaha, Nebraska, United States CommonSpirit Health at Home Full time

    OverviewAs a Home Health Nurse Specialist with CommonSpirit Health at Home, you will have the opportunity to make a profound impact in your community by providing care and support to our cherished homecare patients.You will step outside the confines of traditional hospital walls and embrace a world of autonomy, where your compassion and critical thinking...

  • Storm Damage Restoration Specialist

    3 weeks ago

    Omaha, Nebraska, United States Turtle Roofing Full time

    Turtle Roofing is seeking a skilled Storm Damage Restoration Specialist to join their team. This role involves inspecting and documenting homes for storm damage, meeting with homeowners to educate them on the repairs and claims process, creating estimates and measuring home exteriors and damages.Compensation and BenefitsThe salary range for this position is...

  • Healthcare Coding Specialist

    17 hours ago

    Omaha, Nebraska, United States Think Whole Person Healthcare Full time

    Job Title: Healthcare Coding SpecialistThe Clinical Coder, also known as a Healthcare Coding Specialist, is responsible for performing and ensuring the accurate and timely completion of patient record coding. This role serves as the educator, subject matter expert, and liaison for all coding matters. The Healthcare Coding Specialist investigates and resolves...

  • Insurance Portfolio Development Specialist

    3 weeks ago

    Omaha, Nebraska, United States First State Full time

    Job Title: Insurance Portfolio Development SpecialistAbout the RoleWe are seeking a highly skilled and motivated Insurance Sales Agent to join our team at First State. As an Insurance Portfolio Development Specialist, you will play a key role in growing our agency's portfolio by identifying and closing qualified leads.Your primary responsibility will be to...

  • Medical Coding Specialist

    3 weeks ago

    Omaha, Nebraska, United States Think Aksarben Full time

    We are seeking a skilled Medical Coding Specialist to join our team at Think Aksarben.The estimated salary for this role is $65,000 - $85,000 per year, based on industry standards and the location.Job Description:About UsAt Think Aksarben, we value integrity, belonging, and collaboration. Our teams work together with patients at the center, striving to...

  • Title Specialist

    3 weeks ago

    Omaha, United States Calculated Hire Full time

    RV/Marine Titling SpecialistOmaha, NE (Fully Onsite)Large Fortune 500 BankResponsibilities:· Process paid documents in accordance with financial institutions/customer’s guidelines.· Release collateral by preparing state-specific documentation for RV/Marine liens, and UCC’s. Process releases in all 50 states.· Forward collateral releases and paid...

  • Healthcare Revenue Specialist

    3 weeks ago

    Omaha, Nebraska, United States University of Nebraska Medical Center Full time

    Join the University of Nebraska Medical Center team as a Healthcare Revenue Specialist. In this role, you will be responsible for ensuring accurate and timely reimbursement for laboratory services. Your expertise in medical billing and coding will drive our organization's financial success.About the Role:Monitor accounts: Keep track of patient and insurance...

  • Medical Billing Specialist

    3 weeks ago

    Omaha, Nebraska, United States Total Respiratory & Rehab Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Total Respiratory & Rehab. As a key member of our organization, you will play a crucial role in ensuring the accurate and timely processing of medical claims.About UsTotal Respiratory & Rehab is a leading provider of Durable Medical Equipment (DME) solutions, serving...

  • Property Representative

    1 month ago

    Omaha, United States Farm Bureau Financial Services Full time

    Property Claims Representative **Will be filled at the appropriate level based on experience** Do you thrive in a work environment where you must multi-task and have strong organization skills? Are you a go-getter with high initiative, a positive attitude and strong customer service experience? Are you able to work with limited direction? If so, this...

  • Utilization Management Nurse

    2 months ago

    Omaha, United States Actalent Full time

    Job Title: Utilization Management NurseJob DescriptionWe are seeking a dedicated and detail-oriented Utilization Management Nurse to join our team. The ideal candidate will be responsible for meeting all State and Federal regulations, as well as internal mandates related to claims and preauthorization processing. This role involves accurate and timely...

  • Authorization Management Specialist

    1 month ago

    Omaha, United States Amber Specialty Pharmacy Full time

    At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions. Monday-Friday (now weekends) Hours: 8:00 a.m. - 5:00 p.m. CST Six paid holidays Must pass post-offer, pre-employment drug background tests as allowed...

  • Intake Specialist

    5 months ago

    Omaha, United States AdaptHealth LLC Full time

    AdaptHealth Opportunity - Apply Today!At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please click to apply,...

  • Utilization Management Nurse

    3 weeks ago

    Omaha, United States Actalent Full time

    Job Title: Utilization Management Nurse Qualifications + Bachelor's degree in Nursing + Compact RN License + 2+ years experience in medical review or utilization management. + Knowledge of utilization review, Medicare, utilization management, and EMR systems. + Certification in managed care (preferred). Job Description We are seeking a dedicated and...