Claim processor jobs in Nebraska - 74 jobs

Be part of a team where every day you make a difference! We are looking for a new Claims Processor who will provide exceptional customer service. As a Claims Processor, you will take the first reports of accidents and initiate the claims investigation process. This position is the front line of our claims department and is crucial in setting the tone for fulfilling our promise of providing exceptional service to our insureds. You will use your independent judgment and communication skills to obtain information about losses, determine if coverage exists, and assign cases to an adjuster. We provide you a personalized training program, a secure, friendly, and challenging work environment, plus excellent wages. This position is eligible for a hybrid schedule after training. Training schedule will be Monday-Friday 8:30am-4:30pm, length to be determined by the manager. Shift Options (after completion of training): Monday - Friday: 9:00am - 5:00pm Monday - Friday, 8:30am - 4:30pm Monday - Friday, 10am - 6pm Wednesday 7am - 4pm Thursday/Friday 7am - 5pm Saturday 7am - 5:30pm Minimum Requirements: * High school diploma or equivalent. * Six years of experience in an office environment and/or customer service role preferred. * Strong attention to detail and the ability to prioritize tasks. * Track record of dependability and sound decision-making. Your Future Starts Here: Benefits That Support Your Lifestyle * Competitive Compensation * Generous paid time off and paid company holiday schedule * Medical, Dental, Vision, Life, Long-Term Disability, Company Match 401(k), HSA, FSA * Paternal Leave, Adoption Assistance, Fertility and Family Planning Assistance, Pet Insurance, Retail Discount Programs * Community volunteer opportunities * Wellness programs, gym subsidies, and support for maintaining a healthy lifestyle * Scholarships for dependents and tuition reimbursement to further your education * Company paid continuing education and monetary awards for professional development * Opportunities for a hybrid work schedule (three days in the office, two days remote) Who we are: For over 65 years, Great West Casualty Company has provided premier insurance products and services to thousands of truck drivers and trucking companies across America. We have offices located around the country, and over 1,200 professionals are proud to call us an employer of choice. We are dedicated to the success, happiness, and wellness of our employees. If you are looking for a company where your contributions are valued, your continued learning is financially supported, and customer service is a priority, we want to talk to you. Apply today and join one of America's largest insurers of trucking companies as we help keep the nation's economy moving forward one mile at a time. Great People Great Careers Great West Casualty Company Great West Casualty Company is an Equal Opportunity Employer.

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 Commercial Auto Claims Examiner to join a team. The ideal candidate will have a strong background in handling complex commercial auto claims, including both litigated and non-litigated cases, and will be responsible for managing claims from inception to resolution. Compensation Package Salary Range: $85,000 - $105,000 annually, based on experience and qualifications. Benefits: Comprehensive health, vision, dental, life, and disability insurance. 401(k) plan with company match. Up to 11 days of vacation time, 65 days of sick pay (85-day maximum in a two-year period), seven paid holidays, and two floating holidays. Up to 20 days of paid parental leave. Potential for a discretionary bonus. 100% upfront tuition reimbursement for full-time employees. Access to a state-of-the-art, on-site gym (Omaha office), wellness programs, and low-cost downtown parking. Opportunities for professional development, networking, and volunteering. Responsibilities Handle a caseload of 135-160 commercial auto claims, including approximately 50% litigated files. Investigate, evaluate, and resolve claims, including property damage and bodily injury claims, from all over the United States. Conduct claim investigations, coverage analysis, loss assessments, and claim reserving. Manage claims from start to finish, including negotiating settlements and overseeing litigation processes. Collaborate with independent adjusters and defense counsel as needed. Maintain accurate and timely records of claims, communications, and case summaries. Ensure compliance with applicable laws and company policies. Obtain and maintain required licenses and certifications. Stay updated on insurance and claim management principles and practices. Qualifications/Requirements A Bachelor's Degree is required. Minimum of 5+ years of experience handling complex commercial auto claims. Proven experience with bodily injury claims and managing claims from start to finish. Litigation experience is required. Possession of a Texas or Florida adjuster license is highly preferred; other state licenses will also be considered. Experience in jurisdictions such as California, Texas, Florida, Georgia, and New York is highly desired. Carrier experience is strongly preferred. A stable work history is essential; candidates with frequent job changes or lack of career progression may not be considered. Strong skills in claim investigation, coverage analysis, loss assessment, claim reserving, and settlement. #LI-BC1

**Claims Processing - Remote** for Iowa resident candidates Join our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts allowing you to balance work and personal commitments effectively. Your contributions will directly impact the accuracy and efficiency of our claims processing enhancing customer satisfaction and operational excellence. _You will report to our office in Des Moines, Iowa for part of our training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US insurance policies. + _Eligibility Verification:_ Confirm patient coverage, benefits, and pre-authorization requirements under Medicare, Medicaid, and private insurance plans. + _Adjudication:_ Approve, deny, or adjust claims based on payer guidelines and policy terms. + _Compliance:_ Maintain adherence to HIPAA regulations, CMS guidelines, and other US healthcare compliance standards. + _Documentation:_ Record claim activity, maintain audit trails, and prepare reports for management. **Required Skills & Qualifications-** + High school diploma or equivalent REQUIRED + Strong knowledge of US healthcare insurance systems (Medicare, Medicaid, commercial payers). + 2-4 years of experience in US healthcare claims processing + Familiarity with claims management software and EDI transactions. + Excellent analytical, organizational, and communication skills. + Ability to interpret insurance policies and payer guidelines. + Detail-oriented with strong problem-solving abilities. _Competencies-_ + Regulatory Knowledge - Deep understanding of US healthcare laws and payer requirements. + Accuracy & Detail Orientation - Ensures claims are processed correctly and efficiently. + Problem-Solving - Resolves claim disputes and denials effectively. **Salary and Other Compensation:** Applications will be accepted until January 30, 2025.The hourly rate for this position is between $16.00 - 17.00 per hour, depending on experience and other qualifications of the successful candidate.This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans. **Benefits:** Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:- Medical/Dental/Vision/Life Insurance- Paid holidays plus Paid Time Off- 401(k) plan and contributions- Long-term/Short-term Disability- Paid Parental Leave- Employee Stock Purchase Plan _Disclaimer:_ The hourly rate, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: · Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. · Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. · Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. · Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. · Generates checks for indemnity and medical payments daily. · Develops and monitors consistency in procedural matters of claims handling process within CRS. · Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. · Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota. · Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. · Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We 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. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: · Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! · Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. · 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. · Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. · Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. · DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! · Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. · Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1

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

We are looking to add a Workers' Compensation Claims Specialist to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in Iowa, Minnesota, Nebraska, and Wisconsin. Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really is no place like Holmes! Essential Responsibilities: · Receives, gathers and accurately transmits workers' compensation information to the company, from communications with the insured, claimants, and internal staff in a timely manner. · Investigates, evaluates, and resolves lost time Workers' Compensation claims, including litigated claims. · Mediates situations as they arise between the insured and the insurance company, with little to no support from leader, to include researching coverage issues. · Enters and maintains accurate information on a computer system during the claim process, to include final settlement information. · Generates checks for indemnity and medical payments daily. · Develops and monitors consistency in procedural matters of claims handling process within CRS. · Willingness to become licensed if required in jurisdiction where claims are handled. Qualifications: · Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. · Experience: 3-5 years claims experience with strong background in Workers' Compensation claims handling. · Licensing: Active state specific Workers Compensation License required or the ability to acquire license within three months of hire. Jurisdictional expertise and required licensing in Iowa, Nebraska, Wisconsin, and Minnesota. · Skills: An ideal candidate will have proficient knowledge of Workers' Compensation insurance coverage and claims processing procedures. They will possess the ability to adjudicate lost time claims across multiple jurisdictions and demonstrate the capacity to quickly learn and adapt to various software programs. · Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We 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. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: · Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! · Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. · 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. · Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. · Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. · DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! · Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. · Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer. #LI-SM1

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.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Specialist, Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to designated authority level. + Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. + Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. + Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents Company in depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$117,000 - $125,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

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.

The work we do matters! Hiring Agency: Banking and Finance - Agency 19 Hiring Rate: $52.885 Job Posting: JR2026-00022441 Review Examiner (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 02-05-2026 Job Description: NDBF is seeking the next strong addition to our Financial Institutions Division on the Review Examiner team! This is a senior policy influencing position responsible for team supervision, regulatory process development, industry analytics, as well as consideration of the future of Nebraska's financial industries. NDBF provides an opportunity for you to make a positive difference in the growth of Nebraska communities through oversight of the financial industries in Nebraska. Interested to learn more about us and our vision for making Nebraska the most trusted financial home for people and businesses? Visit our website at About NDBF | Nebraska Banking and Finance. This position is within the Financial Institutions Division of the Department of Banking and Finance. A Review Examiner is the first point of contact with a caseload of financial institutions, directly or indirectly supervises a team of financial institution examiners and administrative professionals, analyzes reports of examination, and delivers responses and reports reflecting expertise to financial institutions, consumers, Deputy Director, and Director. NDBF offers abundant opportunities for professional growth, with direct work interest in masters programs and advanced certificates in examination related topics. We also value collective learning, combined with a flexible, supportive, and collaborative work environment. This position provides the opportunity to be a part of meaningful work and make a difference through public service. If interested in this opportunity, applicants should submit a cover letter and professional resume to the Deputy Director - Financial Institutions, in conjunction with the State of Nebraska's application process. Starting Salary: $110,000/year. Salary may be adjusted according to experience, expertise, and relevant skills. The position may be underfilled if the requirements and experience below have not been met, provided the applicant is willing to complete appropriate classes or training to meet such standards. Salary would be adjusted according to experience, expertise, and relevant skills. Underfill opportunities are subject to approval. Look what we have to offer! • 13 paid holidays • Vacation and sick leave that begin accruing immediately • Military leave • 156% (that's not a typo!) state-matched retirement • Tuition reimbursement • Employee assistance program • 79% employer paid health insurance plans • Dental and vision insurance plans • Employer-paid $20,000 life insurance policy • Public Service Loan Forgiveness Program (PSLF) through the Federal government • Wide variety and availability of career advancement as the largest and most diverse employer in the State • Opportunity to be part of meaningful work and make a difference through public service • Training and Development based on your career aspirations • Collaborate team dynamic • A safe and secure environment At the State, we stand by our core values of treating others with dignity and respect, acting ethically in all situations, and creating an environment where our customer is our top priority. Apply to join our team today! Location: This position is located at the NDBF main office at 1526 K Street, Suite 300, Lincoln, NE and onsite office presence is required. Following orientation and training periods, this position could potentially work from our Omaha office location, subject to approval. Job Duties: Oversee the examination programs of state-chartered banks, trust companies, credit unions, digital asset depositories, crypto ATMs, and other licensed entities. Ensure regulatory and documentation standards are met for examinations. Interact with other regulators and industry professionals on matters related to safety and soundness, compliance, and specialty examination areas such as information technology, AML/CFT, trust, capital markets, accounting, financial technology, digital assets, and data analytics. Prepare financial analysis for upcoming examinations using various resources and identify areas of increasing risk for inclusion in examination scope. Utilize available industry resources to collect, analyze, and interpret industry data, with the potential opportunity to deliver content in presentations to both internal and external parties. Maintain information systems and act as an expert resource to Department staff. Review and analyze reports of examination related to financial institutions as prepared by the examination team. Prepare formal summaries of examination findings and professional written responses addressing significant findings, plans for corrective action, and regulatory guidance. Provide guidance, training, and supervision to financial institution examiners on matters related to regulatory oversight, examination procedures and findings, workpaper documentation standards, and preparation of reports. Complete examiner-in-charge evaluations and provide constructive feedback as necessary. Assist examiners and financial industry professionals in interpreting and applying laws, rules, regulations, policies, and regulatory guidance. Train, mentor, and oversee administrative professionals on matters related to information reporting systems, application processing, industry communications, and other administrative duties as assigned. Complete assigned performance evaluations and provide constructive feedback as necessary. Assist administrative professionals in ensuring consistent operations of the Department. Monitor the changing trends and overall condition of supervised financial institutions. Coordinate and participate in meetings with the Board of Directors of financial institutions and other regulators. Provide recommendations as to the extent of supervision needed and prepare supervisory documents such as Matters Requiring Board Attention, Consent Orders, Memoranda of Understanding, and Board Resolutions. Make recommendations regarding the scope and frequency of examinations and visitations. Review progress reports and all necessary follow up documentation. Provide input and assist with the preparation of the examination schedule and monitor the successful completion of all deadlines and requirements. Coordinate and complete regulatory investigations, as necessary. Evaluate, research, and recommend action regarding consumer inquiries and complaints. Evaluate training needs for administrative professionals and financial institution examiners, and coordinate resources to maintain sufficient knowledge and expertise among Department staff. Interpret policy, write policy recommendations, research trends, and practices as required to accomplish NDBF goals and maintain examination standards as set by the Conference of State Bank Supervisors and federal regulatory agencies. Evaluate applications or requests for approval submitted for financial institution licenses, charters, operating locations, changes in control, mergers, dividends, and other areas requiring approval. Effectively communicate with financial industry professionals and their legal counsel regarding additional information needed, application status, and the determination, once complete. Prepare summary memoranda and make recommendations to the Deputy Director and Director based on detailed and informed analysis. Present general regulatory issues to small and large groups representing NDBF in speaking engagements, as assigned. Attend continuing education events, as assigned. Complete all other duties as assigned and necessary to support the NDBF vision and mission. Requirements / Qualifications Minimum Qualifications: To qualify for this Review Examiner position, the candidate must possess a sound knowledge of general financial institution operations and examination principles, with five years regulatory experience within the last 10 years, including serving as Examiner-in-Charge of safety and soundness financial institution examinations. The candidate must have earned a bachelor's or graduate degree from an accredited college or university related to business, finance, accounting, fintech, economics, analytics, or similar field. A minimum of six semester hours in accounting is required. Preferred: Regulatory experience of a caseload of financial institutions in a similar role of Review Examiner, Case Manager, Managing Examiner, or comparable role. Other: The chosen candidate will be expected to achieve and maintain professional certification opportunities as they arise. Continuing education requirements will be assigned. Supervisory experience is helpful, but not required. Occasional travel is required, including some overnight travel. A valid driver's license or the ability to provide independent authorized transportation, and evidence of vehicle insurance is required. Regular and reliable attendance required. Knowledge, Skills and Abilities Strong ability to define problems, collect, and analyze data, draw valid conclusions, prepare reports, and monitor financial trends and performance. Must be able to communicate effectively with teammates, industry professionals, other regulators, and the public, both orally and in writing, to present analyses, conclusions, and opinions clearly, concisely, and professionally. Must have excellent review, analysis, and editing abilities. Strong computer skills including proficiency with Microsoft applications and ability to learn various examination and database software programs. Willing to learn new processes and skillfully adapt to change quickly. Must be motivated to set and achieve individual and group goals, work with limited supervision, and be a positive team player. Must be able to travel occasionally. Possess the highest integrity, strong leadership and conflict management skills, and personal accountability and ethics. 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.

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.

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: $21.65 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

Seeking a highly skilled and experienced Complex Claims Specialist to join a team. This role involves managing complex litigated commercial auto and heavy equipment bodily injury claims, including liability disputes, fatality claims, and complicated injury cases. The ideal candidate will have a strong background in handling commercial auto claims, litigation experience, and a proven ability to manage claims from inception to resolution. Compensation Package Salary Range: $100,000 - $145,000 per year Employment Type: Permanent Comprehensive benefits package Responsibilities Manage a caseload of 75-100 complex litigated claims, with 90% being litigated files. Handle claims involving commercial auto and heavy equipment, such as 18-wheelers, garbage trucks, dump trucks, and commercial buses. Investigate and resolve liability disputes, fatality claims, and complicated bodily injury claims. Oversee claims from all over the United States, ensuring timely and accurate resolution. Collaborate with legal teams and other stakeholders to manage litigation processes effectively. Qualifications/Requirements Minimum of 5+ years of experience handling complex commercial auto claims. Proven expertise in managing bodily injury claims. Litigation experience is required. Experience handling claims from start to finish, including investigation, evaluation, and resolution. Familiarity with jurisdictions such as Texas, Florida, California, Georgia, and New York is highly desired. Possession of a valid home state adjuster license (Texas and Florida licenses are preferred). Bachelor's Degree is required; Juris Doctor (JD) preferred but not mandatory. A stable work history with demonstrated career progression. Prior experience with insurance carriers is highly desirable. Strong analytical, negotiation, and communication skills. #LI-BC1

The work we do matters! Hiring Agency: Banking and Finance - Agency 19 Hiring Rate: $52.885 Job Posting: JR2026-00022441 Review Examiner (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 02-05-2026 Job Description: NDBF is seeking the next strong addition to our Financial Institutions Division on the Review Examiner team! This is a senior policy influencing position responsible for team supervision, regulatory process development, industry analytics, as well as consideration of the future of Nebraska's financial industries. NDBF provides an opportunity for you to make a positive difference in the growth of Nebraska communities through oversight of the financial industries in Nebraska. Interested to learn more about us and our vision for making Nebraska the most trusted financial home for people and businesses? Visit our website at About NDBF | Nebraska Banking and Finance. This position is within the Financial Institutions Division of the Department of Banking and Finance. A Review Examiner is the first point of contact with a caseload of financial institutions, directly or indirectly supervises a team of financial institution examiners and administrative professionals, analyzes reports of examination, and delivers responses and reports reflecting expertise to financial institutions, consumers, Deputy Director, and Director. NDBF offers abundant opportunities for professional growth, with direct work interest in masters programs and advanced certificates in examination related topics. We also value collective learning, combined with a flexible, supportive, and collaborative work environment. This position provides the opportunity to be a part of meaningful work and make a difference through public service. If interested in this opportunity, applicants should submit a cover letter and professional resume to the Deputy Director - Financial Institutions, in conjunction with the State of Nebraska's application process. Starting Salary: $110,000/year. Salary may be adjusted according to experience, expertise, and relevant skills. The position may be underfilled if the requirements and experience below have not been met, provided the applicant is willing to complete appropriate classes or training to meet such standards. Salary would be adjusted according to experience, expertise, and relevant skills. Underfill opportunities are subject to approval. Look what we have to offer! * 13 paid holidays * Vacation and sick leave that begin accruing immediately * Military leave * 156% (that's not a typo!) state-matched retirement * Tuition reimbursement * Employee assistance program * 79% employer paid health insurance plans * Dental and vision insurance plans * Employer-paid $20,000 life insurance policy * Public Service Loan Forgiveness Program (PSLF) through the Federal government * Wide variety and availability of career advancement as the largest and most diverse employer in the State * Opportunity to be part of meaningful work and make a difference through public service * Training and Development based on your career aspirations * Collaborate team dynamic * A safe and secure environment At the State, we stand by our core values of treating others with dignity and respect, acting ethically in all situations, and creating an environment where our customer is our top priority. Apply to join our team today! Location: This position is located at the NDBF main office at 1526 K Street, Suite 300, Lincoln, NE and onsite office presence is required. Following orientation and training periods, this position could potentially work from our Omaha office location, subject to approval. Job Duties: * Oversee the examination programs of state-chartered banks, trust companies, credit unions, digital asset depositories, crypto ATMs, and other licensed entities. * Ensure regulatory and documentation standards are met for examinations. Interact with other regulators and industry professionals on matters related to safety and soundness, compliance, and specialty examination areas such as information technology, AML/CFT, trust, capital markets, accounting, financial technology, digital assets, and data analytics. * Prepare financial analysis for upcoming examinations using various resources and identify areas of increasing risk for inclusion in examination scope. * Utilize available industry resources to collect, analyze, and interpret industry data, with the potential opportunity to deliver content in presentations to both internal and external parties. * Maintain information systems and act as an expert resource to Department staff. * Review and analyze reports of examination related to financial institutions as prepared by the examination team. Prepare formal summaries of examination findings and professional written responses addressing significant findings, plans for corrective action, and regulatory guidance. * Provide guidance, training, and supervision to financial institution examiners on matters related to regulatory oversight, examination procedures and findings, workpaper documentation standards, and preparation of reports. Complete examiner-in-charge evaluations and provide constructive feedback as necessary. Assist examiners and financial industry professionals in interpreting and applying laws, rules, regulations, policies, and regulatory guidance. * Train, mentor, and oversee administrative professionals on matters related to information reporting systems, application processing, industry communications, and other administrative duties as assigned. Complete assigned performance evaluations and provide constructive feedback as necessary. Assist administrative professionals in ensuring consistent operations of the Department. * Monitor the changing trends and overall condition of supervised financial institutions. Coordinate and participate in meetings with the Board of Directors of financial institutions and other regulators. Provide recommendations as to the extent of supervision needed and prepare supervisory documents such as Matters Requiring Board Attention, Consent Orders, Memoranda of Understanding, and Board Resolutions. Make recommendations regarding the scope and frequency of examinations and visitations. Review progress reports and all necessary follow up documentation. * Provide input and assist with the preparation of the examination schedule and monitor the successful completion of all deadlines and requirements. * Coordinate and complete regulatory investigations, as necessary. * Evaluate, research, and recommend action regarding consumer inquiries and complaints. * Evaluate training needs for administrative professionals and financial institution examiners, and coordinate resources to maintain sufficient knowledge and expertise among Department staff. * Interpret policy, write policy recommendations, research trends, and practices as required to accomplish NDBF goals and maintain examination standards as set by the Conference of State Bank Supervisors and federal regulatory agencies. * Evaluate applications or requests for approval submitted for financial institution licenses, charters, operating locations, changes in control, mergers, dividends, and other areas requiring approval. Effectively communicate with financial industry professionals and their legal counsel regarding additional information needed, application status, and the determination, once complete. Prepare summary memoranda and make recommendations to the Deputy Director and Director based on detailed and informed analysis. * Present general regulatory issues to small and large groups representing NDBF in speaking engagements, as assigned. * Attend continuing education events, as assigned. * Complete all other duties as assigned and necessary to support the NDBF vision and mission. Requirements / Qualifications Minimum Qualifications: To qualify for this Review Examiner position, the candidate must possess a sound knowledge of general financial institution operations and examination principles, with five years regulatory experience within the last 10 years, including serving as Examiner-in-Charge of safety and soundness financial institution examinations. The candidate must have earned a bachelor's or graduate degree from an accredited college or university related to business, finance, accounting, fintech, economics, analytics, or similar field. A minimum of six semester hours in accounting is required. Preferred: Regulatory experience of a caseload of financial institutions in a similar role of Review Examiner, Case Manager, Managing Examiner, or comparable role. Other: The chosen candidate will be expected to achieve and maintain professional certification opportunities as they arise. Continuing education requirements will be assigned. Supervisory experience is helpful, but not required. Occasional travel is required, including some overnight travel. A valid driver's license or the ability to provide independent authorized transportation, and evidence of vehicle insurance is required. Regular and reliable attendance required. Knowledge, Skills and Abilities Strong ability to define problems, collect, and analyze data, draw valid conclusions, prepare reports, and monitor financial trends and performance. Must be able to communicate effectively with teammates, industry professionals, other regulators, and the public, both orally and in writing, to present analyses, conclusions, and opinions clearly, concisely, and professionally. Must have excellent review, analysis, and editing abilities. Strong computer skills including proficiency with Microsoft applications and ability to learn various examination and database software programs. Willing to learn new processes and skillfully adapt to change quickly. Must be motivated to set and achieve individual and group goals, work with limited supervision, and be a positive team player. Must be able to travel occasionally. Possess the highest integrity, strong leadership and conflict management skills, and personal accountability and ethics. 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.

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.

The work we do matters! Hiring Agency: Labor - Agency 23 Hiring Rate: $18.226 Job Posting: JR2026-00022371 UI Claims Specialist (Open) Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed): 01-29-2026 Job Description: Are you ready to make an impact in the lives of Nebraskans? The Department of Labor has a great opportunity to join a dynamic group of teammates in the Grand Island Career Center as an Unemployment Insurance (UI) Claims Specialist and help support individuals needing assistance when filing for unemployment insurance benefits. We are looking for an individuals who is customer focused, detail-oriented, an effective communicator and enjoys working in a team-oriented environment. If this sounds like you...apply today! Here's what we have to offer! • 13 paid holidays • Vacation and sick leave that begin accruing immediately • Military leave • 156% state-matched retirement • Tuition reimbursement • Employee assistance program • 79% employer paid health insurance plans • Dental and vision insurance plans • Employer-paid $20,000 life insurance policy • Public Service Loan Forgiveness Program (PSLF) through the Federal government • Wide variety and availability of career advancement as the largest and most diverse employer in the State • Opportunity to be part of meaningful work and make a difference through public service • Training and Development based on your career aspirations What you'll do: Assist unemployment insurance claimants and employers with navigating the NEworks systems and provide technical support by guiding and coaching in the filing of initial, additional, and weekly claims for unemployment insurance benefits. Receive and respond to telephone, email and/or in-person inquiries from claimants, employers, other agencies, and the general public about the unemployment insurance program; interpret state and federal unemployment insurance laws, agency rules, regulations, policies and procedures. Explain services, procedures, agency rules and regulations, options, and benefits to customers by interpreting state and federal unemployment insurance laws. Discuss NDOL and American Job Center services and refer accordingly. Pre-screen claims by gathering and assessing key database information on individuals' type and location of employment and applying Nebraska, federal and state laws to make decisions. Collect, record and store claimant demographics and employment history, along with appropriate occupational classification codes, and enter respective data into a computer database. Retrieve, review, and verify all client personal and employment information data for accuracy and completeness and update as required. Assist in the adjudication of issues and claims. Conduct periodic eligibility review interviews with unemployed individuals regarding ability and availability to work in person and over the phone; if needed, take necessary action. Assists in monitoring of scanning terminal, fax terminal and Enterprise Management System to ensure system continuity. Upload incoming documents into the NEworks system. Review, batch and forward all claims (employer and claimant correspondence) for appropriate action. Complete and submit supplemental documentation. Other duties as assigned. Location: Grand Island Career Center, 203 East Stolley Park Rd, Suite A, Grand Island (On-site) Schedule: 8am-5pm; Monday-Friday Requirements / Qualifications: Minimum Qualifications: Training or experience in areas such as public contact, customer service, call center and/or performing office/clerical procedures, including the use of personal computer, associated software, and office equipment. Preferred Qualifications: Associate's degree in business administration, marketing, human resources, social services or related field. Experience working as a customer service representative. Other Qualifications: Spanish/English bilingual language skills preferred. Knowledge, Skills and Abilities Skilled in: interviewing to collect elicit essential information; accurate data entry; organizing and filing workload. Ability to: investigate and analyze data to determine facts and draw reasonable conclusions; use computer in daily tasks; interpret written information and forward to appropriate parties; respond in a timely manner to deadlines; interact effectively with customers from varying backgrounds; work under limited supervision; regular and reliable attendance required. 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.