Disability Claims Specialist

Disability Claims Specialist (Lincoln, NE)

Apply today to join NRECA’s Insurance & Financial Services team as a Disability Claims Specialist. In this role you’ll review, investigate, and analyze disability claim information for NRECA membership, ensuring consistent, compliant decisions while providing responsive customer service.

• Under general supervision review, investigate, and analyze disability claim information according to established policy, procedures, and service standards.
• Evaluate claims using standardized guidelines and escalation protocols, treating each case individually by researching claimant education, training, experience, functional limitations, and potential return‑to‑work opportunities.
• Develop recommended actions for assigned claims and maintain high customer‑service standards while meeting productivity and timeliness expectations.
• Apply judgment within defined parameters to support claim‑management approaches, escalating complex, disputed, or unusual cases to senior specialists or management.
• Maintain accurate documentation and reports on claim status and outcomes.
• Adhere to the hybrid work schedule, attending required in‑office days and working from home as permitted.

• Associate degree in business or a related field, or a minimum of 3 years of experience in disability or workers’ compensation claims processing with group insurance plans.
• Insurance coursework or designations (LOMA, AHIP, ICA, IFEBP) preferred.
• Three years of claims‑related experience covering disability, workers’ compensation, medical/dental, and/or life insurance.

• Knowledge of the disability claims lifecycle, integrating medical evidence, vocational factors, functional limitations, and policy provisions to support consistent decisions.
• Strong analytical and critical‑thinking skills; sound decision‑making within established policies and authority levels.
• Clear, professional verbal and written communication; ability to engage diverse members and employees using approved messaging.
• Proficiency in identifying, investigating, and documenting issues accurately.
• Strong customer‑service skills, including active listening, needs assessment, and de‑escalation of challenging situations.
• Accountable attendance and adherence to the hybrid work schedule, reporting to the office when required.

8:15a.m. – 5:00p.m., Monday through Friday. Hybrid schedule: three on‑site days (Tuesdays and Thursdays mandatory, plus one additional day of your choice) and two days from home.

Essential functions include primarily sedentary work with extended periods of sitting, close visual acuity for computer work, keyboard use, and occasional light lifting (up to 10lb). Reasonable accommodation may be provided for individuals with disabilities.

The preceding description reflects the essential functions assigned by management. It does not prescribe or restrict tasks that may be assigned. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

NRECA is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. The U.S. Equal Employment Opportunity Commission (EEOC) complies with the Pay Transparency Nondiscrimination Provision. NRECA participates in the E‑Verify program to confirm eligibility to work in the United States.