Insurance Claims Investigator

As an Insurance Claims Investigator at Agency 22 in Lincoln, NE, your primary responsibilities will include investigating less complicated complaints against insurance companies and agents to ensure compliance with applicable laws. You will also answer inquiries regarding various types of insurance and prepare evidence for department hearings. Your role will involve collaborating with legal teams and maintaining records in the State Based Systems database to track case activity.

To qualify for the Insurance Claims Investigator position at Agency 22, you should have a Bachelor’s degree in business or a related field along with at least one year of experience in the insurance industry or insurance regulation. Alternatively, five years of experience in the insurance sector can also be acceptable. Preferred candidates will have additional relevant experience, showcasing a strong foundational knowledge of insurance practices.

The Insurance Claims Investigator position at Agency 22 offers a part-time work schedule, generally running from 12 PM - 4 PM or 1 PM - 5 PM. Additionally, candidates must be available to work until 5 PM for one week every seven weeks, providing flexibility while ensuring that essential responsibilities are met.

Working as an Insurance Claims Investigator at Agency 22 comes with a fantastic benefits package. This includes 13 paid holidays, immediate accrual of vacation and sick leave, employer-paid health insurance, and a significant retirement plan that features a 156% state match. Additional benefits such as tuition reimbursement, employee assistance programs, and life insurance policy make this opportunity attractive to prospective candidates.

The work environment for an Insurance Claims Investigator at Agency 22 is supportive and focused on serving the public. The agency emphasizes core values of dignity, respect, and ethical conduct. As the largest employer in Nebraska, Agency 22 offers a diverse team of colleagues who foster collaboration, professional development, and a safe workspace for all employees.

When answering this question, highlight relevant experiences in the insurance field, any investigative work you've done previously, and your understanding of compliance with regulations. Emphasize how your background aligns with the duties expected at Agency 22.

Speak about your communication skills, your ability to empathize, and your approach to resolving issues. Mention the steps you would take to review the complaint and work towards a resolution, emphasizing a customer-focused mindset.

Provide a specific anecdote where your analytical skills were pivotal in making an informed decision, such as examining complex data or identifying patterns that led to a successful outcome in a previous role.

Demonstrate your knowledge of specific Nebraska insurance regulations and how they influence the work of an Insurance Claims Investigator. Showing that you have researched and understand these laws will reinforce your candidacy.

Discuss any experience you have with insurance-related software or databases, including how you have effectively utilized them for background checks, case management, or reporting. Mention your eagerness to learn new systems as necessary.

Explain your strategy for assessing the urgency and importance of different complaints. Perhaps mention any organizational tools or techniques you use to stay efficient, ensuring every case receives the attention it deserves.

Discuss your understanding of integrity, transparency, and fairness within the insurance sector. Provide examples of how you would uphold these standards in the role of an Insurance Claims Investigator.

Detail your process for thoroughly reviewing the evidence, organizing your findings, and preparing to present your case clearly. Indicate your understanding of the importance of being well-prepared and accurate in administrative settings.

Express your enthusiasm for public service and working in a role that has a meaningful impact on the community. Share what specifically attracts you to Agency 22 and its values, reinforcing your genuine interest in the position.

Discuss the importance of confidentiality in insurance investigations and your commitment to protecting client information. Refer to any relevant policies or training you've had that guide your understanding of confidentiality procedures.