Insurance Claims Investigator
State of Nebraska

Job Info

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The work we do matters!

Hiring Agency:
Insurance - Agency 22

Location:
Lincoln, NE

Hiring Rate:
$20.147

Job Posting:
JR2024-00011554 Insurance Claims Investigator (Open)

Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):
12-09-2024

Job Description:
Under general supervision, is trained to examine complaints against insurance companies and agents; gather evidence and information to determine if a complaint is warranted and to assist legal counsel. Answers basic insurance questions for the public; performs related work as required.

This is an Insurance Claims Investigator l classification. It takes up to one year to accomplish the requirements for the Insurance Claims Investigator II classification.

Work Schedule: This is a part - time position. Scheduled hours would be 12 PM - 4 PM or 1 PM to 5 PM. Candidate will be required to work until 5 PM for one week, every seven weeks.

Look at what we have to offer!

• 13 paid holidays
• Vacation and sick leave that begin accruing immediately
• Military leave
• 156% (that's not a typo!) state-matched retirement
• Tuition reimbursement
• Employee assistance program
• 79% employer paid health insurance plans
• Dental and vision insurance plans
• Employer-paid $20,000 life insurance policy
• Public Service Loan Forgiveness Program (PSLF) through the Federal government
• Wide variety and availability of career advancement as the largest and most diverse employer in the State
• Opportunity to be part of meaningful work and make a difference through public service
• Training and Development based on your career aspirations
• Fun, inviting teammates
• A safe and secure environment

At the State, we stand by our core values of treating others with dignity and respect, acting ethically in all situations, and creating an environment where our customer is our top priority. Apply to join our team today!

Job duties

• Investigates less complicated complaints against insurance companies and agents to ensure compliance with state and federal laws, rules, and regulations; and the insurance contract.
  
• Answers telephone inquiries and responds to correspondence about life, health, property and/or casualty insurance to inform insurance companies, agents, adjusters, and the public of legal requirements and ethical standards.
  
• Review insurance company files, investigation data, and complaint information to properly evaluate individual complaints, prepare evidence for department hearings.
  
• Draft memo's and organize evidence obtained in case examinations to submit to department counsel for consideration of administrative action; may also testify at administrative hearings.
  
• Utilize State Based Systems (SBS) database to track case history/activity, retrieve licensing information, and extract data to create reports of company and producer complaint activity.
  

Requirements / Qualifications

MINIMUM: Bachelor degree in business or related field AND one year of experience in insurance industry or insurance regulation OR five years' experience working in insurance industry or insurance regulation.

PREFERRED: Bachelor degree in business or related field AND one year experience in insurance industry or insurance regulation is preferred. OR two years' experience working in insurance industry or insurance regulation.

OTHER: Regular and reliable attendance is required.

Knowledge, Skills and Abilities

Knowledge of: Nebraska insurance statutes and Department of Insurance rules and regulations; overall knowledge of insurance companies; insurance principles and industry practices; agency organization and the interrelationships and functions of its division; agency's mission, goals, and objectives.

Skill in: Effective communication; utilizing Microsoft Outlook, Word and Excel.

Ability to: Exercise sound judgment and make informed decisions based on an objective evaluation of facts; use a computer to create cases, exchange information, generate correspondence and track activity. Learn new computer software programs, interact with insurance representatives and complainants with diverse perspectives to resolve issues, summarize findings and recommendations into narrative and statistical reports; understand and apply technical insurance regulations and contracts; identify significant patterns of regulations in the handling of insurance transactions by insurance companies, agents and adjusters; identify vital elements of insurance issues and or operational problems.


Benefits

We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.

Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: https://statejobs.nebraska.gov/index.html#benefits

Equal Opportunity Statement

The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page.

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