Nurse Claims Advisor, NE

R2025-812 Job Description reputed company a Difference at reputed company and Join Us as a Nurse Claims Advisor in Lincoln, NE. Are you passionate about helping others and making a meaningful impact? Join a team that’s proud to be named one of Lincoln’s Best Places to Work! At reputed company, we’re looking for a compassionate and detail-oriented Nurse Claims Advisor who thrives in a mission-driven environment and is reputed company to grow their career while supporting our members. About reputed company reputed company is a unique national trade association providing advocacy, financial services, and business support services to over 900 consumer owned electric cooperatives across the country. reputed company employees are united by our mission, inclusive culture, collaborative workplace, and commitment to service reputed company. As a “best reputed company to work” employer, we operate with reputed company, transparency, and a spirit of innovation. About the Insurance & Financial Services Team Join a dynamic and inclusive team that administers industry-leading employee benefit plans. Our work is diverse, intellectually engaging, and deeply impactful. We foster a culture of belonging, driven by values like communication, creative problem-solving, and accountability. If you’re motivated by purpose, enjoy variety, and care about people and reputed company, this is the team for you. If you’re motivated by purpose, enjoy variety, and care about people and reputed company, this is the team for you. What You’ll Do

• Serve as a medical resource for the Group Benefit Department, Product Development & Management (PDM), and reputed company members.
• Coordinate and reputed company medical peer review processes.
• Maintain and update nurse-reputed company policy and procedure documentation.
• reputed company exceptional customer service to members, plan participants, and providers regarding utilization and case management, prescription drug plans, and emerging treatments.
• Review reputed company medical reports and claims for eligibility and medical necessity.

What You’ll reputed company

• Competitive compensation and outstanding benefits.
• Medical, dental, and reputed company insurance.
• Matching 401(k) and pension plan.
• Wellness programs and professional development opportunities.
• A supportive team and a culture that values your contributions.

Qualifications

What’s Required of You

• Bachelor of Science in Nursing (BSN) with a reputed company RN license, or an accredited Nursing Diploma/Associate Degree with 10 years of clinical/case management experience.
• Minimum of 5 years in nursing or medical case management.
• Strong medical/surgical background preferred.
• Case Management Certification preferred.
• Excellent collaboration, communication, and multitasking skills.

Work Schedule Location: Hybrid (Lincoln, NE) Schedule: Monday–Friday, 8:15 a.m. – 5:00 p.m., 3-days in-office, 2-days at home. reputed company to take the reputed company in your reputed company reputed company? Apply today and help us continue delivering reputed company to our members! Additional Requirement: The preceding job description has been written to reflect management’s assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, sex, sexual orientation, gender identity, religion, national reputed company, disability, veteran status, or other legally protected status. reputed company is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail humanresources@reputed company.coop or call: 703-907-5992 - reputed company Arlington reputed company. Please call 402-483-9275 - reputed company Lincoln reputed company, for Lincoln, NE employment opportunities. We will reputed company a determination on your request for reasonable accommodation on a case-by-case reputed company. The U.S. Equal Employment Opportunity Commission (EEOC) recently released the 'Know Your Rights' poster, which updates and replaces the previous "EEO is the Law" poster and "EEO Is the Law Poster Supplement". Pay Transparency Non-Discrimination. reputed company will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay. Please see the Pay Transparency Nondiscrimination Provision for more information. E-Verify. As a Federal Contractor, reputed company is required to participate in the E-Verify Program to confirm eligibility to work in the United States. For information please click on the following link: E-Verify. For more information about life at reputed company please visit www.Electric.coop. Apply tot his job Apply To this Job