Claim processor jobs in Nebraska

Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.

Seeking a highly skilled and experienced Heavy Equipment & Cargo Claims Examiner to join a team. This role involves managing and resolving complex commercial auto claims, including heavy equipment, cargo, inland marine, and property damage claims. The ideal candidate will have a strong background in handling litigated and non-litigated claims, with a proven ability to manage a high-volume caseload effectively. Compensation Package Salary Range: $85,000 - $110,000 annually (based on experience and qualifications). Responsibilities Handle a caseload of 75-125 claims, including both litigated and non-litigated heavy equipment, cargo, inland marine, and property damage claims. Investigate, evaluate, and resolve claims in accordance with insurance contracts and applicable laws. Analyze and determine the respective rights and obligations of all parties involved under applicable insurance policies. Manage the defense of claims, including the selection and oversight of independent adjusters and legal counsel. Establish and adjust loss and expense reserves as claims progress. Maintain accurate and timely records of communications, case summaries, evaluations, and reports. Ensure compliance with all licensing and certification requirements. Stay updated on insurance and claim management principles and practices. Qualifications/Requirements Bachelor's degree (required). Minimum of 5+ years of experience handling complex commercial auto claims. Experience with bodily injury claims (required). Litigation experience (required). Possession of a valid claims adjuster license (preferably in Texas or Florida, but open to other states). Strong analytical and negotiation skills. Proven ability to manage a high-volume caseload effectively. Stable work history with demonstrated commitment to previous roles. #LI-CD5

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority.Responsibilities: High complexity coverage interpretation, liability investigation, multiple vehicles, potential extra-contractual, litigation or significant injuries. Direct involvement in litigation claims management to reach desired outcomes and minimize expenses Investigate, negotiate and settle complex liability cases. Maintain and make sure alignment to Markel's guidelines and procedures. Ensure proper adherence to internal large loss reporting requirements. Promptly communicate with Claims Manager on case developments and provide information on issues affecting the lines of business Chip in and assist in the implementation of a range of initiatives, discussion and action plans brought forth by the Claims Manager Connect with underwriting as needed to handle claims and to alert of any significant developments Participate in agent related functions and meetings as required Requirements: 7-10+ years of Liability claims handling experience with a commercial insurance company Successful Liability claim handling experience is critical College degree and/or professional designation preferred Sound comprehension of personal and commercial liability coverages. Excellent written and oral communication skills. Experience in resolving contractual obligations, coverage analyses, and investigations. Ability to run sophisticated large liability exposures, set loss and expense reserves and evaluate settlement values. Ability to proactively self-manage an active caseload. Ability to analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form. Travel required as necessary (less than 15%). Adjuster license in multiple states or across the US strongly preferred. US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The salary for the position is $97,520 - $134,000 with a 25% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose ‘Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This 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. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.

The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims. + Supports the other team members with several internal departments to determine appropriate resolution of issues. + Researches tracers, adjustments, and re-submissions of claims. + Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. + Handles special projects as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + Others as required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree or equivalent combination of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About the role Claims Examiners are confident decision-makers, playing an important oversight role in the claims process. To process, monitor, review and approve/deny living benefits and death claims. This includes reviewing medical information and case history to determine if additional investigation is required. Inform, notify, educate, and communicate with agents, insureds/claimants, beneficiaries, and internal departments. Monitor and maintain claims computer systems and reports for accuracy and efficiency What you'll do Review claims reports and mail. Analyze investigative material for coverage to determine if claim is to be paid or denied, and if policy/certificate needs to be reformed/rescinded. Maintain contact with agents and corporate legal counsel as needed. Process payments and correspondence on a timely basis to ensure accurate and prompt processing. Review new claims and determine if coverage is in force and claim is valid. Set up file; request additional information needed. Initial review includes reinsurance participation, contestability, beneficiary designations, coverage exclusions. Conclude what, if any, benefit applies and the amount to be reimbursed. Organize work/resources to accomplish objectives and meet deadlines Maintain compliance with federal and state regulations Maintain the privacy and security of all confidential and protected information; use and disclose only that information which is necessary to perform the function of the job Demonstrate the willingness and ability to work collaboratively with other key internal and external staff to obtain necessary information from both internal and external partners. Participate in all educational activities and demonstrate personal responsibility for job performance Take initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities, as deemed appropriate Consistently demonstrate a positive and professional attitude at work Deliver a high standard of service and empathy when following up with customers by letter, email, or telephone once the claim has been resolved. Efficiently answer incoming telephone or email inquiries from customers about the status of their claim, striving for excellence at every touchpoint. Work with other departments to maintain and update claims systems and ensure accuracy of reports. Maintain relationships with beneficiaries, agents, insureds/claimants, and creditors. Accurately research discrepancies and be responsible for escalating questionable claims to your manager. Qualifications Skills/Competencies Strong organizational skills with elevated level of attention to detail Demonstrated persistency and ability to deliver results under pressure Excellent interpersonal, verbal communication and proofreading skills Proficient in Microsoft Office, etc. Must be a flexible self-starter who can prioritize tasks, follow through and meet deadlines Ability to work independently with minimal supervision Strong risk assessment and conflict resolution skills. Ability to read and interpret contract language Physical Demands Normal office working environment, full time with some flexibility Occasional evening and weekend hours to meet deadlines Ability to type / perform data entry Ability to read from a computer screen and paper reports Express ideas and otherwise communicate with the spoken word

Join our team as a Disability Claims Specialist where you'll play a crucial role in managing complex and sensitive claims with precision and efficiency. In this position, you'll conduct detailed evaluations, adhering to internal and external regulations to ensure top-tier customer service. Your role involves direct interactions with employers, attorneys, and external vendors, alongside guiding less experienced analysts through complex claims scenarios. This role demands sharp independent decision-making and critical thinking skills. You will also contribute to process improvements by eliminating inefficiencies, focusing on activities that enhance customer value. If you are ready to drive change and lead in a dynamic environment, we invite you to apply and make a significant impact. WHAT WE CAN OFFER YOU: Estimated Salary: $57,500- $60,000 Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match. Regular associates working 40 hours a week can earn up to 15 days of vacation each year. Regular associates receive 11 paid holidays in 2024, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion. Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2024, which is prorated based on the start date. Additionally you will receive two floating holidays in 2024 by way of personal time that may be used at your discretion. Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. WHAT YOU'LL DO: Support and Guidance: Assist with issue resolution, transaction processing, and interactions with policy owners and providers. Claim Determinations: Analyze and evaluate disability claims, make critical determinations, and initiate payments or denials as per established procedures. Quality and Compliance: Conduct quality reviews, resolve issues, and communicate process changes and compliance requirements. Leadership and Collaboration: Promote best practices in claims management, engage with business partners, and participate in team activities. WHAT YOU'LL BRING: Claims Experience: Understanding of complex insurance provisions and contracts, ability to interpret vocational and medical information, and calculate disability benefits. Experienced in applying insurance regulations, handling disability claims procedures, and interpreting policies and practices. Organizational and Analytical Skills: Strong attention to detail, ability to make informed decisions, meet deadlines, work independently, and adapt to a changing environment. Communication and Technical Skills: Excellent verbal and written communication, strong customer service and the ability to handle escalated concerns. Organizational and Analytical Skills: Strong attention to detail, ability to make informed decisions, meet deadlines, work independently, and adapt to a changing environment. You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do. Ability to work at our home office located in Omaha, Nebraska, in a hybrid environment. We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! If you have questions about your application or the hiring process, email our Talent Acquisition area at careers@mutualofomaha.com. Please allow at least one week from time of applying if you are checking on the status. #Circa

Family Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource management meeting and/or exceeding member, plan sponsor, and provider expectations. /Mission Reviews and adjudicates routine claims in accordance with claim processing guidelines. Fundamental Components & Physical Requirements include but are not limited to (* denotes essential functions) • Analyzes and approves routine claims that cannot be auto adjudicated. (*) • Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. (*) • Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues. • Routes and triages complex claims to Senior Claim Benefits Specialist. (*) • 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. (*) • May facilitate training when considered topic subject matter expert. (*) • In 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). (*) • Utilizes all applicable system functions available ensuring accurate and timely claim processing service (i.e., utilizes Claim Check, reasonable and customary data, and other post-containment tools). (*) Performance Measures Background/Experience Desired • Experience in a production environment. • Claim processing experience. Qualifications Education and Certification Requirements High School or GED equivalent. Additional Information (situational competencies, skills, work location requirements, etc.) • Ability to maintain accuracy and production standards. • Analytical skills. • Technical skills. • Oral and written communication skills. • Understanding of medical terminology. • Attention to detail and accuracy. Additional Information All your information will be kept confidential according to EEO guidelines.

IS IN SIDNEY, NE. Join our caring community at Sidney Regional Medical Center in Sidney, Nebraska! We are currently pursuing a determined and intelligent full-time Insurance Claims Representative to join our Patient Financial Services team. At SRMC, our patients are our number one priority. We aim to provide extraordinary care every single day by ensuring that our patients' well-being comes first, but amazing patient care starts with YOU. Your diligence and expertise will greatly improve their experience! Loan Repayment: SRMC is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! We provide employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness. Why Us: · Panhandle Hospitality: Bring your warmth and kindness to our patients with a smile. · Close-Knit Team: Small community, big heart - where every team member makes a difference. · Meaningful Impact: Your dedication transforms lives and creates a supportive, caring environment. Responsibilities: · Provide excellent customer service. · Follow up with insurance companies on outstanding billed claims. · Research and correct claims as needed to ensure proper payment. · Process rejected claims and resubmit for payment. · Review, correct, and resubmit any errors on claims not accepted into the adjudication system. · Review and reconcile all insurance credit balances. · Stay current on all daily correspondence from payers. · Identify and initiate any necessary appeals on claims. · Identify potential account adjustments in accordance with established processes. · Contact customer in regard to requests for additional insurance information that may be needed for processing claims as requested by insurance companies. · Remain current on insurance billing regulations and compliance issues. · Update processes accordingly. · Review all payer newsletters and stay up to date on policies. · Run and work numerous aging accounts. · Understand the importance of accounts receivable numbers and maintain standards set for each payer. · Other duties as assigned by management. Requirements: · High school graduate or GED. · Prefer 2-3 years of healthcare billing experience. Benefits: · Generous paid time off. · Growing 401(k) retirement program up to 5% company match. · Comprehensive dental and vision insurance. · Comprehensive dental, vision, disability, and accident insurance. · Insurance for critical illness, health, and life. Sidney Regional Medical Center is an EEO Employer/Vet/Disabled.

The work we do matters! Hiring Agency: Health & Human Services - Agency 25 Hiring Rate: $21.041 Job Posting: JR2025-00021531 Medical Claims Investigator (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 12-29-2025 Job Description: We're seeking candidates who bring a strong attention to detail and a commitment to accuracy, along with the ability to work effectively in a structured, fast-paced environment. Join Our Team! Are you looking for a workplace where your attention to detail, passion for helping others, and love for teamwork are valued and make a difference every day? Join our dedicated team at the Department of Health and Human Services as a Medical Claims Investigator in our Medicaid and Long-Term Care Claims Division. We are committed to service, collaboration, and making an impact on the lives of Nebraskans - and we like to have a little fun along the way! As a Medical Claims Investigator for the Recovery and Cost Avoidance team you'll play a vital role in ensuring Medicaid appropriately remains the payor of last resort for health and casualty claims. This detail-oriented role involves investigating the circumstances surrounding health claims when there is indication that payment for the claim may be obtained from sources other than Title XIX Medicaid funds. As a Medical Claims Investigator, you will: * Answer and direct calls placed or referred to the Coordination of Benefits /Casualty call line. * Analyze claims for payor accuracy, investigate and resolve liability issues, and ensure compliance with Medicaid policies and procedures. * Communicate with team members to address claim inquiries and support both internal teams and external partners. * Initiate research and bring resolution to processed claims which may have been processed and paid and now need to be recouped and billed to a liable third-party resource. * Research extent and sources of third-party liability for medical claims payment and ensure these payments are fully utilized. * Perform Third Party verifications and accurately enter the findings into a database. * Collaborate with appropriate program staff to report and follow-up if fraud, waste or abuse activities are identified. * Perform related work as assigned. Hiring Rate: $21.041 per hour. Non-Exempt Location: Lincoln NE - NSOB 5th floor- In office only Requirements / Qualifications: Minimum Qualifications: Graduation from a standard four year high school, or its equivalency, four years full-time professional experience, plus one year of full-time paid employment in a responsible position performing duties related to investigative research, such as, police investigation, insurance investigation, or account collections. College work with emphasis in business administration, management, public administration, accounting, behavioral sciences, or closely related fields, may be substituted for the above general experience on a year for year basis with a maximum substitution of four years. There shall be no substitution for the one year of investigative research experience. Preferred Qualifications: * Experience with health insurance terminology/processes, Microsoft Office (Excel, Word, Outlook, etc.) databases, Medicaid Claims Processing, and Medicaid eligibility. Experience with C1/MMIS, N-FOCUS, and OnBase would be beneficial. * Strong analytical and problem-solving skills, including the ability to interpret and apply regulations, identify discrepancies, and recommend appropriate actions. * A professional, customer-focused approach when communicating with providers, clients, business partners and internal team members. * Comfort using multiple computer systems and databases to research, update, verify and manage insurance related information efficiently. If you're detail-oriented, dependable, and ready to support our mission of helping Nebraskans - we'd love to hear from you! Knowledge, Skills, and Abilities * Customer Service Skills - Ability to communicate clearly, listen actively, and handle questions or complaints with professionalism. * Attention to Detail - Able to review forms and data accurately to catch errors or missing information. * Computer Proficiency - Comfortable using Microsoft Office (Word, Excel, Outlook) and navigating multiple computer systems. * Time Management - Capable of handling a high volume of work, staying organized, and meeting deadlines. * Problem-Solving - Able to identify issues, think critically, and find practical solutions for customers or internal processes. * Communication Skills - Strong written and verbal communication to explain processes, respond to inquiries, and document work. * Teamwork - Willing to work cooperatively with others and assist team members when needed. * Adaptability - Able to learn new systems, take on different tasks, and adjust to changes in a fast-paced environment. * Confidentiality Awareness - Understands and follows privacy regulations like HIPAA when handling sensitive information. What we offer: * State-matched retirement contribution of 156%! * 13 paid holidays * Generous leave accruals that begin immediately * Tuition reimbursement program * 79% employer-paid health insurance plans * Dental and vision insurance plans * Employer-paid $20,000 life insurance policy * Career advancement opportunities as the largest and most diverse employer in the state * Training and development based on your career goals * Employee Assistance Program If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: ************************** Benefits We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: ************************************************** Equal Opportunity Statement The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Claims Examiner to join our large loss claims team. In this role, you will use your strong communication, investigation, and negotiation skills to successfully manage a diverse caseload of commercial general liability claims. This person must appreciate the sensitive nature of complex, litigated liability claims and have extensive knowledge on policy interpretation and negligence standards. At Applied Underwriters, employees have been at the heart of our success story for more than 30 years. Headquartered in Omaha, NE, our company thrives on innovation and empowers our employees to shape the future of global risk services. Join a team where your ideas are valued and your talents are nurtured with formal, paid training and mentorship. Experience a workplace culture that celebrates initiative, recognizes results, and provides outstanding benefits that allow you to focus on achieving your full potential. Requirements: Juris Doctorate At least two years experience working in an insurance defense capacity or as a Commercial Claims Examiner. Personal injury attorneys encouraged to apply. Proficient in the use of software programs, including Microsoft Word, Excel, and Outlook. Our Benefits Include: 100% employer-paid medical, dental, and vision insurance for employees 401(k) plan with 100% immediate vesting and a 4% company match Paid time off (PTO) and paid holidays On-site pharmacy, Promesa, provides convenient prescription delivery directly to you Life, disability, critical illness and accident insurance Employee Assistance Program (EAP) Pre-tax Flexible Spending Accounts for health, dependent care, and commuter-related expenses Tuition reimbursement Fitness reimbursement and various additional quality-of-life benefits Applied Underwriters is a global risk services firm helping business and people manage uncertainty through its business services, insurance, and reinsurance solutions. As a company, we truly operate differently within our business sector. Applied Underwriters has one of the highest customer retention rates in the industry - a success directly attributed to our employees and their high level of commitment, hard work, and ambition.

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: * Investigate, evaluate, and settle entry-level insurance claims * Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products * Learn and comply with Company claim handling procedures * Develop entry-level claim negotiation and settlement skills * Build skills to effectively serve the needs of agents, insureds, and others * Meet and communicate with claimants, legal counsel, and third-parties * Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment * Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience * Bachelor's degree or direct equivalent experience with property/casualty claims handling * Ability to organize data, multi-task and make decisions independently * Above average communication skills (written and verbal) * Ability to write reports and compose correspondence * Ability to resolve complex issues * Ability to maintain confidentially and data security * Ability to effectively deal with a diverse group individuals * Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) * Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage * Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-KC1 #LI-Hybrid

Experienced Claims Representative - Workers' Compensation We are seeking a seasoned workers' compensation professional to work with clients to control costs and exposure and help injured workers get back to work. In this position, you will handle workers' compensation claims involving litigated, loss time and complicated medical claims. This position offers a hybrid/ home-based work opportunity . The successful candidate must reside in the state of SD, KS, NE, MO, or IA to be considered. A minimum of three years of progressive workers' compensation claims handling experience to include handling litigated claims and files with larger losses is required Experience in the Midwest jurisdictions is preferred Proven decision making and problem-solving skills Excellent verbal and written communication skills Must be proficient in Microsoft Word and Excel In our 30+-year history, we've soared to great heights, reimagined ourselves, and gained a profound awareness of the value we bring as experienced workers' compensation insurance providers. Today our reputation has grown as the region's leading workers' compensation insurance writer . While our product is insurance, what we truly sell is safer workplaces, help for companies looking to protect their employees, and support for people at their most vulnerable. We offer a competitive wage and benefits package including medical, dental and vision coverage, paid holidays, paid parental leave PTO, 401K, and much more! At RAS, we believe in an inclusive work environment, where employees are welcomed, valued, respected, and heard to ensure that individuals bring their best selves to work. RAS provides equal opportunities to all qualified candidates without regard to race, color, religion, sexual orientation, gender identity or expression, age, disability status, veteran status, national origin, or any other status protected under federal, state or local law.

We are currently seeking an experienced and detail-oriented Commercial Auto Claim Examiner to join our team and support our clients in managing their commercial auto claims efficiently and effectively. The Commercial Auto Claim Examiner will be responsible for investigating, evaluating, and resolving commercial auto claims. This role requires a strong understanding of commercial auto insurance policies, coverage, and claims handling processes. The successful candidate will ensure timely and accurate claims processing while maintaining high standards of customer service and compliance. Salary/Benefits $90k-$95k+/ Yearly (based on experience) Handling litigated and non-litigated Commercial Auto claims Will handle claims from all over the US Average caseload: 135-160 MAX Litigated files 50% Requirements 5+ years of experience handling complex Commercial Auto Claims Need to have Bodily Injury experience Ideally TX or FL license Litigation experience required Bachelor's Degree required Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. #LI-CD5 #LI-BC1 INDTJG-CTT

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. - Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. - Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. - Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. - Assists in reviews of state and federal complaints related to claims. - Collaborates with other internal departments to determine appropriate resolution of claims issues. - Researches claims tracers, adjustments, and resubmissions of claims. - Adjudicates or readjudicates high volumes of claims in a timely manner. - Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. - Meets claims department quality and production standards. - Supports claims department initiatives to improve overall claims function efficiency. - Completes basic claims projects as assigned. **Required Qualifications** - At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. - Research and data analysis skills. - Organizational skills and attention to detail. -Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. - Customer service experience. - Effective verbal and written communication skills. - Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Conducts, coordinates and directs investigation into loss facts and extent of damages. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents. * Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting. Required Qualifications * This role will is responsible for Equine claims; equine knowledge or hands-on experience working with horses is strongly preferred. * Must have or be eligible to receive claims adjuster license. * Successful completion of basic insurance courses or achievement of industry designations. * Ability to be trained in insurance adjusting up to two years of claims experience. * 2-4 years of experience in general liability, construction defect, or related liability lines preferred. * Bachelor's degree preferred * Excellent written and oral communication skills. * Strong organizational and time management skills. #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This 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. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.

Job Title: Claims analyst Duration: 12 months Job Description: Family Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource management meeting and/or exceeding member, plan sponsor, and provider expectations. Position Summary/Mission Reviews and adjudicates routine claims in accordance with claim processing guidelines. Fundamental Components & Physical Requirements include but are not limited to (* denotes essential functions) • Analyzes and approves routine claims that cannot be auto adjudicated. (*) • Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and applies all cost containment measures to assist in the claim adjudication process. (*) • Coordinates responses for routine phone inquiries and written correspondence related to claim processing issues. • Routes and triages complex claims to Senior Claim Benefits Specialist. (*) • 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. (*) • May facilitate training when considered topic subject matter expert. (*) • In 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). (*) • Utilizes all applicable system functions available ensuring accurate and timely claim processing service (i.e., utilizes Claim Check, reasonable and customary data, and other post-containment tools). (*) Performance Measures Background/Experience Desired • Experience in a production environment. • Claim processing experience. Qualifications Education and Certification Requirements High School or GED equivalent. Additional Information (situational competencies, skills, work location requirements, etc.) • Ability to maintain accuracy and production standards. • Analytical skills. • Technical skills. • Oral and written communication skills. • Understanding of medical terminology. • Attention to detail and accuracy. Additional Information All your information will be kept confidential according to EEO guidelines.

The work we do matters! Hiring Agency: Revenue - Agency 16 Hiring Rate: $21.374 Job Posting: JR2025-00021555 Revenue Examiner (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 01-09-2026 Job Description: The Department does not sponsor non-immigrant work visas, or STEM OPT candidates for this position. Do you enjoy solving puzzles? Are you detail oriented? Do you enjoy helping and educating other people? If so, you should consider a career as an Examiner with the Nebraska Department of Revenue. Positions in this dynamic and exciting field are on the front lines of tax administration and education. Examiners conduct on-site and in-office reviews of taxpayer documentation to ensure compliance with existing laws and regulations and provide education specific to their tax obligations. After review, they compile work papers to do the following: * Discovery and Nexus. Assist the taxpayer to voluntarily report any existing liabilities to the State. * Incentives. Educate the taxpayer on their eligibility for tax incentive benefits and correct prior filings. * Individual Income Tax. Inform the taxpayer of their income tax responsibilities and assist them with filings. We offer a comprehensive benefit package, great work-life balance, and ample paid time off. Part time work is available Job Duties include: Conduct on-site and/or in-office reviews to ensure compliance. Prepare workpapers or spreadsheets to document work. Contact taxpayers to request records of information or to explain process and requirements. Respond to taxpayer requests for information and explanations. Document relevant facts, information, results, and recommendation through reports and databases. Discuss findings with Revenue professionals to resolve issues or make recommendations. Requirements / Qualifications: Minimum Qualifications: Post high school education or training in bookkeeping, accounting, or mathematics and at least two years of related experience; OR Bachelors degree with emphasis in accounting. Preferred Qualifications: At least six hours in accounting. Work experience in federal or state taxation. Other: Valid driver's license or the ability to provide independent authorized transportation. Knowledge of: financial reporting procedures and accounting principles and methods. Ability to: calculate addition, subtraction, multiplication, division, percentage, and decimal computations; perform mathematical operations using fractions, discounts, interest rates, ratios, and proportions; communicate verbally and in writing with other agency staff and client representatives; apply principles of and perform basic level data analysis, and interpret instructions; exercise limited independent judgment and decisiveness in a variety of settings; use a variety of office equipment; handle occasional confrontational individuals within business situations. (For a position in Discovery, applicant must have the ability for limited travel including extended hours.) If you're currently employed by the State of Nebraska, please don't apply through this external career site. Instead, log in to Workday and open the Jobs Hub - Internal Apply app from your home landing page. You can access Workday anytime through the Link web page: ************************** Benefits We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has to offer! Benefit eligibility may vary by position, agency and employment status. For more information on benefits, please visit: ************************************************** Equal Opportunity Statement The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.

Seeking a highly skilled and experienced Litigation Claims Examiner - Commercial Auto to join a team. This role involves managing complex, litigated commercial auto claims on a nationwide scale. The ideal candidate will possess a strong background in handling bodily injury claims, litigation experience, and a Juris Doctor (JD) degree. Compensation Package Salary Range: $110,000 - $130,000 annually (based on experience and qualifications). Benefits: Comprehensive health, vision, dental, life, and disability insurance. 401(k) plan with company match. Responsibilities Manage and resolve litigated commercial auto claims across the United States. Investigate, evaluate, and negotiate claims, including bodily injury claims, within established authority and in compliance with applicable laws. Attend mediations, depositions, motion hearings, and court appearances as required. Travel at least once per quarter to represent the company in settlement conferences and other proceedings. Handle a caseload of 100-130 claims, with 90-100% being litigated files. Collaborate with independent adjusters, defense counsel, and other professionals to ensure effective claim resolution. Establish and adjust case reserves based on available information. Maintain accurate and timely records of communications, evaluations, and claim files. Stay updated on insurance and claim management principles and practices through professional development. Qualifications/Requirements Juris Doctor (JD) degree is required. 3-5+ years of experience handling complex commercial auto claims. Proven experience in managing bodily injury claims. Litigation experience is mandatory. Active license in Texas or Florida is preferred, but other state licenses will be considered. Strong analytical, negotiation, and communication skills. A stable work history is essential. Candidates from private practice are welcome to apply. Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. #LI-CD5

The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims. + Supports the other team members with several internal departments to determine appropriate resolution of issues. + Researches tracers, adjustments, and re-submissions of claims. + Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. + Handles special projects as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + Others as required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree or equivalent combination of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.