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.
NewSenior Technical Claims Specialist BP&CSenior Technical Claims SpecialistOmaha, NebraskaWorking with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Negotiates highly complex settlement packages, sets reserves and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
NewSenior Claims Representative BP&CSenior Claims RepresentativeOmaha, Nebraska$24.75–$28.65 / hourThis includes analyzing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. An advanced knowledge of systems and processes necessary to adjudicate non-injury liability automobile claims, as well as an exceptional customer service focus typically obtained through two years’ work experience working in a claims, insurance, or customer-focused position.
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.
Pfml- Absence Management Claims Consultant Pacific LifePfml- Absence Management Claims ConsultantOmaha, NE$98,010–$119,790 / yearThe PFML Claims Consultant will partner closely with Product, Technology, Legal, Compliance, and Operations teams to define business requirements, support system configuration and testing, develop workflows, create claims procedures and training materials, drive process improvements, and ensure regulatory requirements are effectively translated into scalable operational solutions. Partner closely with Product Owners, Business Analysts, Technology teams, and external vendors to define business requirements, user stories, workflows, business rules, and system functionality needed to support PFML administration.
NewSenior Technical Claims Specialist Argo Group International Holdings IncSenior Technical Claims SpecialistOmaha, NE$173,706–$208,386 / yearEssential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Qualifications / Experience Required: A deep knowledge of claims adjudication and focus on customer service typically achieved through: At least seven years' experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.
Senior Claims Representative Argo Group International Holdings IncSenior Claims RepresentativeOmaha, NE$24.75–$28.65 / hourThis includes analyzing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Qualifications / Experience Required: An advanced knowledge of systems and processes necessary to adjudicate non-injury liability automobile claims, as well as an exceptional customer service focus typically obtained through two years' work experience working in a claims, insurance, or customer-focused position.
Senior Claims Representative Argo Group International Holdings Ltd.Senior Claims RepresentativeOmaha, NE$24.75–$28.65 / hourThis includes analyzing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Qualifications / Experience Required: An advanced knowledge of systems and processes necessary to adjudicate non-injury liability automobile claims, as well as an exceptional customer service focus typically obtained through two years' work experience working in a claims, insurance, or customer-focused position.
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.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedOmaha, NE$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
NewClaims Support Representative Stillwater Insurance GroupClaims Support RepresentativeOmaha, NEThis role provides hands-on experience in customer service, business operations, insurance claims, and administrative functions while offering extensive training, mentorship, cross-functional exposure, and advancement opportunities. Responsibilities may include claim intake, First Notice of Loss (FNOL) processing, customer and agent communications, document management, reporting, compliance support, vendor payment processing, and various administrative duties.
Property Representative Farm Bureau Financial ServicesProperty RepresentativeNebraska, NEAs a Property Claims Adjuster, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, engineers, restoration specialists, general contractors, attorneys, and others. We value a culture where integrity, teamwork, passion, service, leadership, and accountability are at the heart of every decision we make and every action we take.
Special Risk Claim Analyst - Omaha, NE Mutual of Omaha Insurance CompanySpecial Risk Claim Analyst - Omaha, NEOmaha, NEEach claim presents a unique challenge, necessitating strong communication skills and the capacity to collaborate both internally and externally to ensure timely and accurate claim processing. Resolve and Execute Claims: Once all questions related to a claim are resolved, you''''ll be responsible for initiating payments or denials through our claims system, adhering strictly to our policy guidelines.
Claim Examiner - Life Physicians Mutual Insurance Company, Inc.Claim Examiner - LifeOmaha, NebraskaFull timeIn this role, you will review and evaluate life insurance claims by analyzing policy provisions, death certificates, and supporting documentation to determine accurate claim outcomes. We consistently maintain some of the highest financial strength ratings in the nation from independent insurance analysts, including A.M.
RN Workers Comp Coordinator CommonSpirit HealthRN Workers Comp CoordinatorOmaha, NECommunicate with nurse case managers, insurance claims adjusters, and human resource personnel to ensure that all information (dictation, work restriction releases, etc.) for Workers' Compensation patients are received in a timely fashion. Serves as a liaison between healthcare personnel, nurse case managers, rehabilitation professionals, personnel representatives, claims adjusters, attorneys, and patients for individuals who are disabled due to an injury or illness.
Triage Specialist Argo Group International Holdings Ltd.Triage SpecialistOmaha, NE$24.32–$28 / hourOur 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.
Bilingual Triage Specialist Argo Group International Holdings IncBilingual Triage SpecialistOmaha, NE$26.76–$30.80 / hourOur 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.
Triage Specialist Argo Group International Holdings IncTriage SpecialistOmaha, NE$24.32–$28 / hourOur 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.
Triage Specialist BP&CTriage 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.
Product Manager/Owner AI Sedgwick Claims Management Services, Inc.Product Manager/Owner AINEThe Product Manager/Owner works directly with claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer friction points, regulatory risks, and client performance commitments. They translate these insights into clearly defined AI use cases with measurable operational objectives such as reduced claim cycle time, improved reserving accuracy, enhanced fraud detection rates, or improved document processing speed.