Investigations Analyst (Entry Level)

Responsibilities

• Use social media and other internet resources, as well as specific websites and applications, to uncover activities of injured workers that are inconsistent with their reported disability status.
• Partner with key internal employees in areas such as Claims Legal, Medical Utilization Review, Medical Bill Review, and Medical Networks to ensure ideal outcomes.
• Determine coverage and compensability for reported claims.
• Set and maintain appropriate reserves.
• Maintain compliance with regulatory deadlines, benefit calculations, state reporting, and benefit notices.
• Achie favorable settlements through timely identification of settlement opportunities, accurate settlement valuations, and effective negotiation practices.
• Direct vendors such as field investigators, field nurses, and defense attorneys to positively impact outcomes.

Requirements

• 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
• The ability to verify information and identify issues and inconsistencies; a strong BS detector is a must
• Ability to comprehend, interpret, and apply complex legal and medical documents
• Strong spoken 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, with a natural strength for both investigative and persuasive communication
• Prior workers' compensation experience is not necessary; we will provide the training
• Bachelor’s degree a plus but not required

Benefits

Omaha National provides a stable, positive work environment, competitive pay, excellent benefits, such as paid parental bonding leave, tuition reimbursement, 401K, and paid vacation and sick leave.