Rating Specialist jobs in Lincoln, NE

Rating Specialist is responsible for calculating insurance premiums based on rate books, calculators, and the type and amount of policy. Revises rates as necessary and maintains records and appropriate filings. Being a Rating Specialist requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Rating Specialist works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Rating Specialist typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Specialist
  • Elevance Health
  • Lincoln, NE FULL_TIME
  • Job Description

    eCOB Specialist I

    Location : Hybrid, within 50 miles of an Elevance Health pulse point.

    Hours : Monday - Friday, an 8 hour shift between the hours of 6 am - 6 pm EST

    The eCOB Specialist I is responsible for researching and investigating other coverage for all of the company's groups and members.

    Performs multi complex functions and interprets complex rules, laws and contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function including reconciliation of claim, membership and accounting.

    How you will make an impact :

    • Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage.
    • Aides members in enrolling in Medicare when they are entitled.
    • Updates all of the company's membership system components with investigation results for claim coordination.
    • Ensures correct forms are provided to assist members enrolling in Medicare.
    • Reviews claim history to reconcile processed, pended or recovered in any error.
    • Associate must identify the correct formulas in order to adjudicates impacted claims, using multiple COB Formulas for the various product types, pursuant to State and Federal Guidelines.

    Minimum Requirements :

    Requires a HS diploma or equivalent and a minimum of 1 year of claims processing and / or customer service and a minimum of 1 year coordination of benefits experience;

    or any combination of education and experience which would provide an equivalent background.

    Preferred Skills, Capabilities, and Experiences :

    • Knowledge of NAIC & CMS COB guidelines strongly preferred.
    • Excellent oral and written communication skills, PC skills, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.

    For candidates working in person or remotely in the below locations, the salary* range for this specific position is $19.04 to $34.27

    Locations : California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

    In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

    The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.

    The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

    The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.

    This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

    Even within the range, the actual compensation will vary depending on the above factors as well as market / business considerations.

    No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

    The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    Job Level :

    Non-Management Non-Exempt

    Workshift :

    1st Shift (United States of America)

    Job Family : CLM >

    CLM >

    Claims Support

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

    Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    How We Work

    At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.

    Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

    Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

    Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19.

    If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

    Applicants who require accommodation to participate in the job application process may contact for assistance.

    Last updated : 2024-03-27

  • Just Posted

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Specialist
  • MATHESON
  • Waverly, NE FULL_TIME
  • MasterVend Specialist The primary responsibility is to assist in the growth of the packaged gas business unit utilizing vendor managed inventory solutions. Accompany Sales Representatives on sales cal...
  • 3 Days Ago

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Sales Specialist
  • American Family Insurance - Burgess & Associates,...
  • Columbus, NE FULL_TIME
  • Benefits: Competitive salary Commissions/Bonuses Retirement IRA matching Flexible schedule Opportunity for advancement Paid time off Parental leave Training & development Company Overview We believe p...
  • 18 Days Ago

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Marketing Specialist
  • CIP Communities
  • Lincoln, NE FULL_TIME
  • The Marketing Specialist plays an important role in the marketing department by engaging in a wide variety of activities related to marketing and communications with a goal of maximizing property mark...
  • 19 Days Ago

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Automation Specialist
  • Matheson Tri-Gas
  • Waverly, NE FULL_TIME
  • Automation TechInstalls, repairs, sells & provides training for Motoman Robotic Welding systems & Automated Cutting equipment by performing the following duties:ESSENTIAL DUTIES AND RESPONSIBILITIES i...
  • 19 Days Ago

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Implementation Specialist
  • TELCOR Inc
  • Lincoln, NE FULL_TIME
  • Implementation Specialist TELCOR Inc, a nationally recognized provider of health care software, is looking for an energetic, focused and motivated team member for the TELCOR Revenue Cycle Management p...
  • 20 Days Ago

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0 Rating Specialist jobs found in Lincoln, NE area

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Travel CT Technologist - $2,828 per week
  • Stability Healthcare
  • Lincoln, NE
  • OneStaff Medical is seeking a travel CT Technologist for a travel job in Lincoln, Nebraska. Job Description & Requiremen...
  • 3/28/2024 12:00:00 AM

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Vice President of Operations
  • Summit Lawns
  • Lincoln, NE
  • Job Description Job Description SUMMIT LAWNS VICE PRESIDENT OF OPERATIONS Are you a motivated leader who craves accounta...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - Orthopedics - $2,101 per week
  • TRS Healthcare
  • Lincoln, NE
  • OneStaff Medical is seeking a travel nurse RN Orthopedics for a travel nursing job in Lincoln, Nebraska. Job Description...
  • 3/27/2024 12:00:00 AM

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Diesel Fleet Mechanic Technician II
  • SYSCO
  • Lincoln, NE
  • Company: US0061 Sysco Lincoln, Inc. Zip Code: 68521 Minimum Level of Education: High School or Equivalent Minimum Years ...
  • 3/27/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,172 per week
  • TRS Healthcare
  • Lincoln, NE
  • OneStaff Medical is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Lincoln, Nebraska....
  • 3/25/2024 12:00:00 AM

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Travel CT Technologist - $2,353 per week
  • Stability Healthcare
  • Lincoln, NE
  • OneStaff Medical is seeking a travel CT Technologist for a travel job in Lincoln, Nebraska. Job Description & Requiremen...
  • 3/25/2024 12:00:00 AM

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Diesel Fleet Mechanic Technician ll/lll - $5,000 Sign On Bonus
  • SYSCO
  • Lincoln, NE
  • Company: US0061 Sysco Lincoln, Inc. Zip Code: 68521 Minimum Level of Education: High School or Equivalent Minimum Years ...
  • 3/25/2024 12:00:00 AM

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Travel CT Technologist - $3,122 per week
  • Stability Healthcare
  • Lincoln, NE
  • LanceSoft is seeking a travel CT Technologist for a travel job in Lincoln, Nebraska. Job Description & Requirements Spec...
  • 3/24/2024 12:00:00 AM

Lincoln is the capital of the U.S. state of Nebraska and the county seat of Lancaster County. The city covers 94.267 square miles (244.150 km2) with a population of 284,736 in 2017. It is the second-most populous city in Nebraska and the 71st-largest in the United States. The city is the economic and cultural anchor of a substantially larger metropolitan area in the southeastern part of the state called the Lincoln Metropolitan and Lincoln-Beatrice Combined Statistical Areas. The statistical area is home to 353,120 people, making it the 106th-largest combined statistical area in the United ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Rating Specialist jobs
$39,549 to $58,307
Lincoln, Nebraska area prices
were up 0.8% from a year ago

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