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Investigations Analyst

Company: Omaha National
Location: Omaha
Posted on: May 5, 2021

Job Description:

Omaha National is seeking an Investigations Analyst to join our growing team. The right candidate is insightful and internet savvy, with the ability to research and locate information not immediately obvious to the general public. Prior workers' compensation experience is not required; we will provide the right candidate the training needed to engage in a rewarding career.

Utilizing popular search engines, social media, phone calls, and other investigative means, the Investigations Analyst gathers and delivers facts in a concise and objective manner to assist key personnel with identifying and preventing potentially fraudulent behavior by injured workers, medical providers, and insured employers. We are looking for an inquisitive, resourceful, and detail-oriented individual who is proficient in utilizing internet-based and other investigative resources to locate a wide variety of information. Your strong negotiation and persuasion skills; high aptitude to lea rn and effectively apply medical and legal principles; and ability to thrive in a challenging and fast paced role are attributes we want on our team.

Job Requirements:

-- Use social media and other internet databases, as well as specific websites and applications, to uncover activities of injured workers that are inconsistent with their reported disability status.
-- Determine coverage and compensability for reported claims.
-- Accurately set reserves, ensuring that timely updates are made with claim developments.
-- Maintain compliance with regulatory deadlines, benefit calculations, state reporting, and benefit notices.
-- Achieve favorable settlements through timely identification of settlement opportunities; accurate settlement valuations; and effective negotiation practices.
-- Direct vendors such as field nurses, investigators, defense attorneys to positively impact claims outcomes.
-- Clearly and succinctly communicate investigation findings with key internal employees in the areas of Premium Audit, Underwriting, Claims Adjusting, and Medical Management in a factual and unbiased manner.

--- A keen, logical mind and a strong aptitude for analytical thinking
--- Rock-solid honesty, openness, and ethical values
--- Strong analytical skills and attention to detail are a necessity to success in this position.
--- Demonstrate the ability to verify data, spot trends, and identify inconsistencies.
--- Ability to comprehend and learn new workers' compensation regulations while interpreting complex legal and medical documents.
--- Strong verbal and written communication skills with the ability to effectively communicate with a broad audience of varying backgrounds, frequently conveying complicated information in a way easily understood by a layperson.
--- Possess the aptitude to learn workers' compensation regulations while interpreting complex legal and medical documents. Prior workers' compensation experience is not necessary; we will provide the training.
--- Demonstrate proficiency in Microsoft Office programs, as well as exceptional proficiency in internet and social media use. Maintain up-to-date knowledge of internet technology developments and the newest search resources and methods.
--- Bachelor's degree a plus but not required.

Omaha National provides a safe, stable, positive work environment, competitive pay, excellent benefits, 401(k), and paid vacation and sick leave.

Keywords: Omaha National, Omaha , Investigations Analyst, Professions , Omaha, Nebraska

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