Claims Processor CommonSpirit HealthClaims ProcessorOmaha, NEYour critical thinking skills will be crucial in troubleshooting complex issues related to payer regulations and guidelines, ensuring data integrity and maintaining strict confidentiality of medical records. Every day you will transmit and retrieve electronic patient claims, meticulously review documentation for billing accuracy, and resolve claim edits within our billing system and clearinghouse.
Senior Claims Examiner, Ocean Marine Claims Markel Group IncSenior Claims Examiner, Ocean Marine ClaimsOmaha, NE$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Typically handles moderate to complex exposure ocean marine bodily injury and property damage claims including, but not limited to, Commercial General Liability, Protection & Indemnity, Marina Operator's Protection & Indemnity, and Marine Excess (Bumbershoot) Liability, as well as Hull, Piers, Wharves & Docks, and Ocean Cargo.
Senior Claims Examiner, Ocean Marine Claims Markel CorporationSenior Claims Examiner, Ocean Marine ClaimsOmaha, NE$78,000–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Typically handles moderate to complex exposure ocean marine bodily injury and property damage claims including, but not limited to, Commercial General Liability, Protection & Indemnity, Marina Operator's Protection & Indemnity, and Marine Excess (Bumbershoot) Liability, as well as Hull, Piers, Wharves & Docks, and Ocean Cargo.
Operations Claims Specialist Pacific LifeCorpOperations Claims SpecialistOmaha, NE$24–$26 / hourAs part of the Claims processing team, you'll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. We're actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC.
Claims analyst Integrated Resources, IncClaims analystOmaha, NebraskaContractorIn accordance with prescribed operational guidelines, manages claims on desk, route/queues, and ECHS within specified turn-around-time parameters (Electronic Correspondence Handling System-system used to process correspondence that is scanned in the system by a vendor). • Proofs claim or referral submission to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis and pre-coding requirements.
Operations Claims Specialist Pacific LifeOperations Claims SpecialistOmaha, NE$24–$26 / hourAs part of the Claims processing team, you'll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. We're actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC.
Claims Operations Quality Assurance Specialist Pacific LifeClaims Operations Quality Assurance SpecialistOmaha, NE$32–$37 / hourHow You'll Make an Impact: Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation, beneficiary/payee information, follow-up requirements, and completion of required claim actions. How you'll help move us forward: Consistently apply sound judgment and accountability when evaluating pay accuracy, interest review and calculation, post-death interest, claim setup completeness, follow-up activity, documentation quality, and adherence to claims procedures.
Claims Operations Quality Assurance Specialist Pacific LifeCorpClaims Operations Quality Assurance SpecialistOmaha, NE$32–$37 / hourHow You'll Make an Impact: Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation, beneficiary/payee information, follow-up requirements, and completion of required claim actions. How you'll help move us forward: Consistently apply sound judgment and accountability when evaluating pay accuracy, interest review and calculation, post-death interest, claim setup completeness, follow-up activity, documentation quality, and adherence to claims procedures.
Sr. Liability Claims Specialist, Supervisor (Remote) Creative Risk SolutionsSr. Liability Claims Specialist, Supervisor (Remote)NebraskaRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Through inclusion and belonging initiatives, titled Uniquely United, not only do we offer employees a paid Diversity Day time-off option, but we also have a Uniquely United Committee, Employee Resource Groups, and development programs to advance our culture of belonging.
NewClaims Research & Resolution Representative Humana IncClaims Research & Resolution RepresentativeNERemote$40,000–$52,300 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Service Receptionist and Warranty Claims Specialist Country Auto BlairService Receptionist and Warranty Claims SpecialistBLAIR, NEFull timeAs the Service Receptionist and Warranty Claim Specialist , you will handle all service phone calls, scheduling, warranty claims processing and coordination of logistics on inbound and outbound vehicles. Our dedicated team is passionate about building lasting relationships with our customers and delivering quality service, making us a trusted choice for all automotive needs.
Senior Provider Experience Program Manager - Healthcare Claims CVS Health CorpSenior Provider Experience Program Manager - Healthcare ClaimsNE$106,605–$284,280 / yearWhat you will do: Lead enterprise delivery of multiple, highly complex business process and technology initiatives aligned to the Provider Experience / Provider NPS program, supporting all lines of business. Drive Agile delivery of Provider Experience / Provider NPS initiatives, supporting business process and technology improvements across multiple lines of business.
Bilingual Claims Intake/FNOL/Triage Specialist BP&CBilingual Claims Intake/FNOL/Triage SpecialistOmaha, NebraskaOur Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Senior Claims Assistant BP&CSenior Claims AssistantOmaha, NebraskaUnder limited supervision, provide complex clerical support utilizing in-depth procedures on assignments of higher-level complexity to a nationwide team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms. This role is responsible for providing robust clerical support to our team of Claims Adjusters working across a wide variety of specialties and providing exceptional customer service to our brokers, claimants, and insureds.
Bilingual Claims Assistant BP&CBilingual Claims AssistantOmaha, NebraskaProvide clerical support to a nationwide team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms. Ability to build rapport and foster collaborative, productive relationships with business partners and organizational peers with a focus on timely and meaningful exchanges of information and providing value-added solutions.
NewSpecialty Claims Associate NRECASpecialty Claims AssociateLincoln, Nebraska$48,000–$60,000 / yearRequired Experience : Medical office experience with exposure to medical billing, claims processing, verifying medical benefits with insurance companies, or has at least two years in healthcare or insurance related field. If you need special assistance or an accommodation while seeking employment, please e-mail humanresources@nreca.coop or call: 703-907-5992 - NRECA Arlington Human Resources.
Workers Comp CA Senior Claims Specialist- Remote National Interstate CorporationWorkers Comp CA Senior Claims Specialist- RemoteNebraskaRemoteOur steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes.
NewAssistant Vice President, Inland Marine Claims BP&CAssistant Vice President, Inland Marine ClaimsOmaha, NebraskaDeliver expert claims guidance in Inland Marine policies (Builders Risk, Contractor’s Equipment, Commercial Output, Difference in Conditions, Installation Floater, Ocean Marine Motortruck/Cargo), driving timely and accurate results while shaping cost-effective litigation strategies. At Argo, claims professionals use independent judgment to deliver tailored solutions, benefit from direct access to senior leaders, and work in a collaborative, inclusive environment that values creativity and diverse perspectives.
PROPERTY CLAIMS ADJUSTER-NORTHEAST NEBRASKA (NORFOLK, COLUMBUS, And SIOUX CITY) Grinnell Mutual ReinsurancePROPERTY CLAIMS ADJUSTER-NORTHEAST NEBRASKA (NORFOLK, COLUMBUS, And SIOUX CITY)Norfolk, Nebraska$50,997.68–$101,766.79 / yearWhile performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear; and taste or smell. The incumbent occasionally works with all levels of employees in the home office including management, in-house counsel, property appraisers, special investigators, underwriters, finance, and support units.
Casualty Claims Representative Auto-Owners Insurance CoCasualty Claims RepresentativeOmaha, NEThis job requires mastery of claims-handling skills and requires the person to: Investigate assigned casualty claims by collecting statements, physical evidence, and legal documentation. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.