Claim specialist jobs in Bellevue, NE

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.

Complex Claims Specialist - Workers' Compensation (Remote) Seeking an experienced Complex Claims Specialist with a strong background in handling complex Workers' Compensation claims. This role involves managing a caseload of high-severity claims, including catastrophic injuries, across multiple jurisdictions. The ideal candidate will possess extensive knowledge of Workers' Compensation regulations, laws, and best practices. This is a 100% remote position with occasional travel required for mediations, training, and departmental meetings. Compensation Package Salary Range: $100,000 - $125,000 (depending on experience) Competitive benefits package, 401(k), paid time off, professional development opportunities, etc. Responsibilities As a Complex Claims Specialist, your key responsibilities will include: Investigating coverage, determining compensability, and managing high-exposure Workers' Compensation claims involving catastrophic injuries and complex cases. Establishing and updating reserves throughout the claim lifecycle to reflect exposure, with documented rationale. Resolving claims within authority limits and making case value recommendations to senior leadership for cases exceeding authority. Collaborating with outside defense counsel to manage litigated files in accordance with established guidelines. Partnering with medical providers, customers, and injured workers to facilitate appropriate medical treatment and ensure timely submission of medical bills. Ensuring compliance with state and federal Workers' Compensation regulations. Providing exceptional customer service to policyholders, agents, injured workers, medical providers, legal teams, and vendors. Developing creative resolution strategies for complex cases, utilizing internal and external resources effectively. Documenting claim files in accordance with company and regulatory guidelines. Identifying subrogation potential and red flags requiring Special Investigations Unit (SIU) involvement. Training new team members and acting as a technical resource for less experienced claims representatives. Maintaining continuing education requirements. Qualifications/Requirements Knowledge and Experience: Active adjuster license required. Minimum of 10 years of experience handling complex Workers' Compensation claims. Multi-state experience in jurisdictions such as California, Arizona, Colorado, Wyoming, Texas, and Oklahoma (willingness to learn additional jurisdictions is required). Proficiency in structured settlements and Medicare Set-Asides. Strong negotiation, analytical, organizational, and time management skills. Ability to work independently in a fast-paced, virtual office environment. Advanced verbal and written communication skills for interacting with internal and external stakeholders. Proficiency in MS Word, Excel, and internet applications. Highly detail-oriented with the ability to prioritize tasks effectively under pressure. Education: Bachelor's degree required. Industry designations such as AIC, SCLA, or CPCU are a plus. 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-BC1

This is a premier position in the insurance industry. You will use your previous experience and strong communication skills, coupled with the training and tools we will provide to manage a caseload of property and casualty insurance claims. This position requires the Claims Adjuster to coordinate with several interested internal and external entities to efficiently resolve each claim. 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: Bachelor's degree. At least two years of professional experience. 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.

Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!

Job Description WHO WE ARE IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That's over 140 years! Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory - Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin. PROPERTY CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Representative in Council Bluffs, IA and surrounding area. This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses. The ideal candidate will be an analytical, detailed worker, who can manage time and work on multiple projects while maintaining accuracy and service. IMT Property Claims Representatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines. If you're interested in joining our claims department, apply online today! A DAY IN THE LIFE Conduct interviews with insureds, claimants and other interested parties Conduct thorough investigations and examine insurance policies to determine coverage Inspect damages and prepare written estimates of repair or replacement Correspond with insureds, claimants and other interested parties Prepare and report findings and negotiate settlements DESIRED QUALIFICATIONS 0 - 3 years Property claims experience preferred Bachelor's Degree Excellent verbal and written communication skills Excellent problem-solving and negotiation skills Good keyboard/PC skills Excellent organizational and prioritization skills Ability to climb ladder to assess roof damage Ability to lift minimum 30 lbs Must maintain valid driver's license Able to travel/stay overnight for storm claim duty BENEFITS & PERKS IMT Insurance is committed to our employees and their families. When you work for IMT, you earn far more than just a paycheck. The IMT office was new in 2018 and offers a fitness room, game room and a variety of collaboration areas. This position includes learning and development opportunities and more! Below is a list of what IMT offers our employees: Medical, dental, and vision insurance, Life & A D & D insurance, 401K retirement savings accounts, spending accounts, long and short-term disability, profit share, paid vacation & sick time, employee assistant program and additional voluntary benefits. The salary range for this position is $53,000.00 - $99,000.00 Starting salary and level of position will depend on level of experience This position is not eligible for tips or commission but may be eligible for additional bonuses WHAT DEFINES US Our vision is to provide peace of mind in the moments that matter. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you!

Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description We are looking for a highly capable General Liability Property Damage Claims Manager to join our team and work from any of our US offices. This role will be managing a team of five adjusters of varying levels of experience adjudicating claims under technical direction within broad limits on assignments reflecting moderate to complex complexity, potentially with significant impact on departmental results. The primary duties and responsibilities of the role are: * Using your specialized knowledge in general liability property damage claims, provide technical resources, guidance and education for a team of claims adjusters with varying levels of experience to enable them to manage all claims to the appropriate outcome. * Ensuring performance objectives and metrics are in place and being met to support and meet department goals. * Providing advice and oversight into claim disposition strategies. * Ensure Argo's best-in-class claim management operating characteristics, measurement criteria, and meaningful metrics benchmarking are communicated to the team and monitored to ensure there is accountability for proper and consistent claims performance, achieving the appropriate financial outcomes, and department goals. * Working closely with adjusters and outside counsel to ensure cost-effective and appropriate litigation management strategies are in place that will lead to the best overall outcome. * Support the selection process to hire and retain claims professionals that consistently demonstrate appropriate technical expertise, maturity and a professional commitment to excellence and customer service. * Acting as a role model, and with sustained positive energy, demonstrating belief in, and commitment to, the values of Argo Group. Continuing to build and lead a value-based organization committed to long-term success. * Having an appreciation and passion for strong claim management. The successful candidate will be a motivated, solutions-oriented self-starter with high ethical standards. Additional qualifications and knowledge will include but are not limited to: * Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers' ability to be profitable). * Requires advanced knowledge in leading people and managing the execution of processes, projects and tactics. This is typically achieved through: * A minimum of ten years' prior relevant experience, including people management. * Bachelor's degree from an accredited university required. Two or more insurance designations or four additional years of related experience adjudicating general liability property damage claims beyond the minimum experience required above may be substituted in lieu of a degree. * Ability to ability to build consensus. * A strong focus on execution in getting things done right. Proven ability to consistently produce and deliver expected results to all stakeholders by: * Finding a way to achieve success through adversity. * Being solution (not problem) focused * Thinking with a global mindset first. * Strong focus on selection - determined to have the right people who do the best job. * Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly. * A team builder, someone who understands that success is dependent upon the performance of the team and not individual team members. Creates strong morale and spirit within the team: shares wins and celebrates success as a team * Dedicated to developing talent. Understands and is committed to teaching technical skills and developing people so that they realize their full potential. * Advanced technical expertise related to claims resolution and settlement principles, practices and procedures. * Ability to establish mentoring relationships with key employees and participates in the development of succession and training plans for all positions. Empowers others by driving decision-making, authority, and resources to trusted employees and providing stretch assignments. * Ability to identify and resolve conflicts in a timely, objective manner, using sound judgment to reach a solution. * Independent decision maker - takes full responsibility for making decisions keeping risk and compliance at the center of the process. Makes decisions with data driven tools and information. * Demonstrates active listening and proactive communication by listening first, and then preparing carefully before engaging in conversation to communicate well thought out feedback. * Shows care and concern by expressing curiosity authentically, being self-aware, constantly engaging input from others, and collaborating with ease. * Ability to build rapport and foster collaborative, productive relationships with business partners and organizational peers with a focus on timely and meaningful exchanges of information and providing value-added solutions. * Must demonstrate a desire for continued professional development and diverse experience opportunities for both self and others. * The courage to offer and support others to express different opinions and ideas, regardless of popularity or immediate acceptable. * Polished and professional written and verbal communication skills. The ability to read and write English fluently is required. * Proficient in MS Office Suite and other business-related software. The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package. * Chicago and Los Angeles metro area Pay Range: $168,600 - $202,300 * Los Angeles and New York City Pay Range: $183,800 - $220,600 About Working in US Claims at Argo Group * Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful. * Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. * We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses. * Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas. * We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply. PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at ************. Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to our HR Privacy Notice Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

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.

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

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

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.

Insight Global is looking for an Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have some experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements Current Adjuster License 1-3 years of Worker's Compensation Claims experience Specifically Indemnity & in Nebraska Preference of experience in the following states: MO, KS, NE, IA, MN, WI, SD, ND, WY

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.

The Insurance Follow-up Specialist is responsible for timely, efficient and accurate follow-up on outstanding insurance and credit balances. In addition to insurance follow-up, this role is responsible for completing any reworks, re-submissions, reconsiderations, appeals or claim communications timely and according to the requirements of the payer. The Insurance Follow-up Specialist answers questions from payers, departmental staff, other outside agencies, patients or family verbally, through the mail or via phone as needed. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Performs follow-up on all outstanding claims and takes the appropriate action to ensure timely and accurate reimbursement following the payers filing guidelines 3. Reviews and analyzes all claims for correct and complete patient and insurance information, service dates, and charges. 4. *Makes outbound calls to payers and accesses payer websites. 5. *Maintains knowledge of current billing guidelines and third party payer regulations. 6. *Investigates reason for errors by communicating with specified department personnel and makes the necessary corrections within system. 7. Actively researches State and Federal regulations and billing guidelines to stay current to ensure compliance. 8. *Contacts patients or employers as necessary for correct health plan information by calling or sending correspondence as needed. 9. *Responds to all inquiries, billing rejections, and other correspondence and phone requests in an efficient and effective manner. 10. *Completes reconsiderations and appeals as needed. 11. Works with the appropriated department concerning any coding issues or reviews. 12. Follows Medical Center protocols in communicating and releasing patient information. 13. Documents all activities on accounts in the hospital patient accounting system. 14. Identifies issues or trends with accounts and makes suggestions for possible resolutions. 15. Works closely with the Hospital Billing Specialists to resubmit claims and resolve errors as needed. 16. Performs other related projects and duties as assigned. (Essential Job functions are marked with an asterisk "*"). REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Knowledge of patient accounting operations and standard techniques. 2. Knowledge of credit and collection practices, third party payer regulations and Joint Commission regulations. 3. Knowledge of federal, state and facility regulations including COBRA, HIPPA, Medicare, Medicaid and Corporate Compliance Plan. 4. Knowledge of billing and third party reimbursement websites for resource support and claim status updates. 5. Knowledge of computer hardware equipment and software applications relevant to work functions. 6. Knowledge of CPT and ICD-10 codes. 7. Ability to minimum productivity standards set forth by the department. 8. Ability to communicate effectively both verbally and in writing. 9. Ability to prioritize work demands and work with minimal supervision. 10. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Knowledge of the Centers for Medicare and Medicaid Services (CMS), to include CCI, MUE, and OCE editing practices as they relate to government claims. 13. Strong analytical, problem solving, and communication skills. 14. Advance work knowledge by participating in continuing education in-services, webinars, teleconferences, reading periodicals/literature and seeking ongoing development opportunities. 15. Ability to react and effectively perform work under stressful situations. 16. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: High school diploma or equivalency required. Associates degree in business or accounting related field preferred. One (1) year of experience in a healthcare setting, preferably working in billing, insurance follow-up or accounting required. Training or prior experience in CPT/ICD-10 coding desired. Must be at least 19 years of age to witness legal consents. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT)-Characterized as sedentary work requiring exertion up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Embark on a rewarding career journey at Applied Underwriters, where 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. This is a premier entry-level position in the insurance industry. You will use your strong communication skills, coupled with the training and tools we will provide to manage a caseload of property and casualty insurance claims. This position requires the Claims Adjuster to coordinate with several interested internal and external entities to efficiently resolve each claim. Requirments: Bachelor's degree. 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.

WHO WE ARE IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That s over 140 years! Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin. PROPERTY CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Field Representative in Nebraska*. This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses. The ideal candidate will be an analytical, detailed worker, who can manage time and work on multiple projects while maintaining accuracy and service. IMT Property Claim Field Representatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines. If you're interested in joining a growing company who values loyal, optimistic workers, apply online today! A DAY IN THE LIFE Conduct interviews with insureds, claimants and other interested parties Conduct thorough investigations and examine insurance policies to determine coverage Inspect damages and prepare written estimates of repair or replacement Correspond with insureds, claimants and other interested parties Prepare and report findings and negotiate settlements DESIRED QUALIFICATIONS 3+ years Property claims experience preferred Bachelor's Degree Excellent verbal and written communication skills Excellent problem-solving and negotiation skills Good keyboard/PC skills Excellent organizational and prioritization skills Ability to climb ladder to assess roof damage Ability to lift minimum 30 lbs Must maintain valid driver s license Able to travel/stay overnight for storm claim duty Adjusters with advanced experience will be considered at the Sr. Level. *Territory includes Omaha, NE and surrounding areas. BENEFITS & PERKS IMT Insurance is committed to our employees and their families. When you work for IMT, you earn far more than just a paycheck. The IMT office was new in 2018 and offers a fitness room, game room and a variety of collaboration areas. This position includes a hybrid work arrangement, learning and development opportunities and more! Below is a list of what IMT offers our employees: Medical, dental, and vision insurance, Life & A D & D insurance, 401K retirement savings accounts, spending accounts, long and short-term disability, profit share, paid vacation & sick time, employee assistant program and additional voluntary benefits. The salary range for this position is $47,000.00 - $99,000.00 Starting salary and level of position will depend on level of experience This position is not eligible for tips or commission but may be eligible for additional bonuses WHAT DEFINES US Our vision is to provide peace of mind in the moments that matter. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you!

Department Insurance & Financial Services Employment Type Full Time Location Nebraska Workplace type Hybrid Compensation $90,000 - $120,000 / year Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.