Job details
Job type full-time
Full job description
Location: nebraska
Work type: full time regular
Job no: 499581
Categories: customer service, administrative/support, analytics/data science, claims/claims processing
Application closes: open until filled
Contributes to the department`s overall success in meeting established goals and objectives through the accurate, timely, and thorough disposition of premium billing and/or eligibility processing and maintenance activity using automated systems, billing methods and business functions.
What you`ll do:
Performs standard premium and eligibility processing functions and receives and determines the intent of customer inquiries and accurately responds by investigating, analyzing and resolving all questions and concerns to meet customer expectations while maintaining production, quality, and time service requirementsMaintains confidentiality in the collection, maintenance and dissemination of restricted, sensitive or other information as identified by managementEstablishes and maintains effective working relationships with personnel at all levels of the company to assure the successful implementation and delivery of programs.
Evaluates and maintains the eligibility of certholders, as applicable to current assignment, for use in enrollment, premium application and claims paying opportunitiesDetermines if changes are in compliance with a variety of employee and dependent coverage requirements as mandated by the policyholder contract and various state and federal laws.
Determines the accuracy of billing statementsAnalyzes and allocates premium payments as it relates to group and member level billingEvaluates data maintained on compass and gfs systems to ensure the accuracy of billing, eligibility and premium collection/allocation to comply with contractual obligations.
Reviews and analyzes all data submitted and, when necessary, initiates calls to policyholders and brokers to obtain missing information or clarify questions to ensure proper handlingEducates our policyholders and brokers through written or verbal communication to ensure efficient and effective eligibility and premium handling according to their contract provisions.
Identifies, evaluates and resolves eligibility and billing entries which erroneously may affect claim payment, reimbursement payments, and financial results.
Identifies and communicates premium and eligibility non-conformance to other group departments to successfully resolve issues in a timely and professional manner.
Provides daily communication to management regarding inventory levels and ideas for managing workload within the team.
This job posting is reflective of the gps representative essential functions, qualifications, and physical requirementsThe sr gps representative level has variable essential functions, qualifications and physical requirementsCompetency and skill set will determine level of placement within the posted job family.
About you:
You help promote a culture of diversity and inclusion within the department and the larger organizationYou value different ideas and opinionsYou listen courageously and remain curious in all that you do.
You are able to work remotely and have access to high-speed internet.
You help promote a culture of diversity and inclusion within the department and the larger organizationYou value different ideas and opinionsYou listen courageously and remain curious in all that you do.
You are able to work remotely and have access to high-speed internet.
Excellent customer service and human relations skills
Good verbal and written communication skills and the ability to effectively articulate instructions and information to other associates and customers
Strong math, analytical, and problem-solving skills
Sound judgment, creativity and flexibility
Proficient with personal computer and microsoft applications
Proficient typing and data entry skills with strict accuracy and attention to detail
Ability to operate a computer keyboard and calculator throughout the work period
Valuable experience:
Knowledge of eligibility requirements, master contract provisions, and applicable federal/state laws
Knowledge of contract provisions and their impact on the ability to collect premiums and determine eligibility
What we can offer you:
A diverse workplace where associates feel a sense of belonging
A organization that feels like a small, close-knit community and has the strength of a fortune 500 company
Tuition reimbursement, training and career development
Competitive salary, incentives, 401(k), flexible work schedules and a healthy amount of time off
Mutual of omaha:
Mutual of omaha serves more than 4.8 million individual product customers and 39,000 employer groupsOur legacy of stability creates an environment where every associate is encouraged to experiment, innovate and grow in their own unique career path.
From day one, you’ll have the tools to be your best self at workHere you’ll do meaningful work and your talents will have a positive impact on peoples’ lives as we help our customers protect what they care about and achieve their financial goals.
Each associate is a unique contributor to creating a diverse, dynamic, thriving and inclusive workplaceWe want you to become engaged … feel a sense of belonging … and contribute to the company’s exceptional future.
Join forces with a company that can amplify your strengths and empower your career.
For inquiries about the position or application process, contact our hr helpline at 1-800-365-1405.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disabilityTo request an accommodation, contact a human resources representative at 1-800-780-0304We are available monday through friday 7 am to 4:30 pm cst we will reply within 24 hours.
Mutual of omaha and its affiliates are an equal opportunity /affirmative action employerQualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
To all recruitment agencies: we do not accept unsolicited agency resumes
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