Mutual of Omaha Quality Audit Rep (Workplace Solutions Claims-Shared Services)-Omaha, NE or Remote in OMAHA, Nebraska
Monitor, review and/or evaluate the quality of service provided by department staff and/or external parties, to assure competent performance and adherence to the set internal and external standards and requirements as determined by the department. Correct areas of non compliance of department processes, through coaching and feedback on a regular basis.
WHAT YOU'LL DO:
Monitor, review and/or evaluate the quality of service provided by department staff to measure service quality and identifynon-conformance while maintaining production and time service goals. On a regular basis, provide regular coaching and feedback to individual staff.
May schedule staff to assure adequate/required service level coverage for customers.
May review and/or handle appeals and/or elevated issues as appropriate.
May validate accuracy of decisions/processes for adherence to set standards and/or applicable regulations or requirements. May work with external parties for resolution.
May prepare reports of quality results for use by management in evaluating performance or developing training.
May perform standard premium and eligibility processing functions.
Maintains confidentiality in the collection, maintenance and dissemination of restricted, sensitive or other information as identified by management.
Establishes and maintains effective working relationships with personnel at all levels of the Company to assure the successful implementation and delivery of programs.
May determine and recommend billing and enrollment alternatives to support non-standard requests to establish processes and systems.
You help promote a culture of diversity and inclusion within the department and the larger organization. You value different ideas and opinions. You listen courageously and remain curious in all that you do.
You are able to work remotely and have access to high-speed internet.
Strong Customer Service skills and ability to work effectively with others through effective verbal and written communication.
Strong teamwork, collaboration and flexibility.
Thorough knowledge of one or more of the Company's product lines.
Strong analytical ability, sound judgment and math aptitude.
Thorough knowledge of applicable laws and regulations
Ability to work well under pressure and deadlines
Proficient with personal computer and software applications/data entry
Microsoft Word and Excel
Good oral and written communication skills and the ability to effectively articulate instructions and information to other associates
Some knowledge/skill in presentation
Experience with Compass system and GSAP (Group Sales Application).
Knowlege of eligibility rules.
Strong knowledge of Group Insurance.
WHAT WE CAN OFFER YOU:
A diverse workplace where associates feel a sense of belonging.
An organization that feels like a small, close-knit community and has the strength of a Fortune 500 company.
Tuition reimbursement, training and career development.
Comprehensive benefits plan that includes medical, dental, vision, disability and life insurance.
Flexible spending accounts for healthcare and childcare needs.
401(k) plan with a 2% company contribution and 6% company match.
Competitive pay with an opportunity for incentives for all associates.
Flexible work schedules with a healthy amount of paid time off.
For more information regarding available benefits, please visit our Career Site. (https://www.mutualofomaha.com/careers/life-at-mutual/benefits-and-perks)
Minimum: $19.11 MidPoint: $24.61 Maximum: $30.11
Pay commensurate with experience.
MUTUAL OF OMAHA:
Mutual of Omaha serves more than 4.8 million individual product customers and 39,000 employer groups. Our legacy of stability creates an environment where every associate is encouraged to experiment, innovate and grow in their own unique career path.
From day one, you’ll have the tools to be your best self at work. Here you’ll do meaningful work and your talents will have a positive impact on peoples’ lives as we help our customers protect what they care about and achieve their financial goals.
Each associate is a unique contributor to creating a diverse, dynamic, thriving and inclusive workplace. We want you to become engaged … feel a sense of belonging … and contribute to the company’s exceptional future.
Join forces with a company that can AMPLIFY YOUR STRENGTHS AND EMPOWER YOUR CAREER.
For inquiries about the position or application process, contact our HR Helpline at 1-800-365-1405.
If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at 1-800-780-0304. We are available Monday through Friday 7 am to 4:30 pm CST we will reply within 24 hours. #circa
Mutual of Omaha and its affiliates are an Equal Opportunity /Affirmative Action Employer. Qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
To All Recruitment Agencies: We do not accept unsolicited agency resumes and we are not responsible for any fees related to unsolicited resumes.