Claims Examiner jobs in Nebraska

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Work Comp Claims Examiner
  • Werner Enterprises
  • Omaha, NE FULL_TIME
  • The main purpose of this position is to examine and manage both medical only and lost time workmen's compensation claims in accordance with the Nebraska Workmen's Compensation Act.
    ESSENTIAL JOB FUNTCIONS
    The job functions listed below represent the essential job duties and responsibilities of the above- listed position.

    • Receive phone calls from employees reporting of an injury, filing a claim, or inquiring about a claim.
    • Coordinate medical bills and manage claims related to an injury, until the claim is closed.
    • Enter data into the computer system dealing with information within a claim such as medical status, medical bills, reports, and wage loss.
    • Examine Workmen's Compensation claims and determine approval or denial of claims.
    • Perform other related duties as assigned by supervisory personnel.

    KNOWLEDGE, SKILLS, AND ABILITIES
    The requirements listed below are representative of the knowledge, skill, and/or ability required.
    Reasonable accommodations may be made to enable individuals with disabilities to perform the
    essential functions.
    • Strong written and oral communication skills.
    • Ability to communicate with customers, drivers, and co-workers in a courteous, sensitive and
    professional manner.
    • Excellent decision making skills.
    • Knowledge in operating a PC.

    EDUCATION AND EXPERIENCE
    • Minimum of an Associate's degree from an accredited college with emphasis in Business Management
    or Insurance preferred or equivalent experience.
    • Knowledge of medical terminology required.
    • Two to three years experience with workers' compensation claims processing or equivalent experience
    preferred.
    • One to two years of experience in insurance operations preferred.
    • Receive phone calls from employees reporting of an injury, filing a claim, or inquiring about a claim.
    • Coordinate medical bills and manage claims related to an injury, until the claim is closed.
    • Enter data into the computer system dealing with information within a claim such as medical status,
    medical bills, reports, and wage loss.
    • Examine Workmen's Compensation claims and determine approval or denial of claims.
    • Perform other related duties as assigned by supervisory personnel.
    Werner Enterprises provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, genetic information or veteran status or other status protected by law. We encourage applicants of all ages as we do not discriminate on the basis of an applicant's age.
    By clicking “Submit” you are expressly consenting to our
    Privacy Policy
    (available at
    https://www.werner.com/privacy-policy/
    ) and to Werner Enterprises, Inc., its representatives, and affiliates (“Werner”) contacting you about your inquiry, and that Werner may collect sensitive information about you to consider your employment as explained further in our Privacy Policy. All information collected will be handled and retained as explained in the Privacy Policy.
  • 15 Days Ago

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Claims Examiner - On Site
  • Regional West Health Services
  • SCOTTSBLUFF, NE FULL_TIME
  • Regional Care, Inc. (RCI) is one of the nation’s premier independent third-party insurance administrators based in Scottsbluff, Nebraska and is actively looking for an individual with strong customer ...
  • 1 Month Ago

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Salesforce Analyst
  • Premier Claims
  • Omaha, NE FULL_TIME
  • Job Overview: We are seeking a highly skilled Analyst to join our team. As an Analyst, you will be responsible for analyzing data, developing insights, and providing recommendations to support busines...
  • Just Posted

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Discovery Examiner
  • State of Nebraska
  • Lincoln, NE FULL_TIME
  • The work we do matters! Hiring Agency: Revenue - Agency 16 Location: Lincoln Job Posting, Omaha Job Posting Hiring Rate: $19.957 Classification Salary Range: $19.96 - $29.42 Job Posting: JR2024-000052...
  • 14 Days Ago

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Medicare Supplement - Claim Examiner
  • Physicians Mutual
  • Omaha, NE FULL_TIME
  • Physicians Mutual’ s Claims team is hiring! In this role, the Medicare Supplement Claim Examiner evaluates and responds to health claim service requests for Customers, providers and entitled parties. ...
  • 3 Days Ago

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Life Claim Examiner
  • Physicians Mutual
  • Omaha, NE FULL_TIME
  • Physicians Mutual is hiring for a full-time Life Claims Examiner. The selected candidate will be responsible for communicating with beneficiaries, providers and other involved parties; analyzing life ...
  • 11 Days Ago

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Claims Examiner
  • JCW
  • JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
  • 4/23/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Chicago, IL
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • New York, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Phoenix, AZ
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • D3 Search
  • Los Angeles, CA
  • D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a highly respected global insurer w...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • White Plains, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/21/2024 12:00:00 AM

The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,087 to $59,788