Claims analyst
Omaha, NE · On-site
Omaha NE 68154 Duration: 12 months Family Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource ...
Omaha, NE · On-site
Omaha NE 68154 Duration: 12 months Family Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource ...
Omaha, NE · On-site
Omaha NE 68154 Duration: 12 months Family Summary/Mission Achieve superior claim and member service performance through an integrated process of operational, quality, medical cost, and resource ...
Omaha, NE · On-site
Ability to handle complex claim situations Ability to operate a PC and all applicable programs and applications. Must possess problem solving, decision-making, and organizational skills. Ability to ...
Omaha, NE · On-site
Ability to handle complex claim situations Ability to operate a PC and all applicable programs and applications. Must possess problem solving, decision-making, and organizational skills. Ability to ...
Hyannis, NE · Remote
$17.75 - $22.75/hr
... claim accuracy, completeness, and compliance with payer guidelines prior to submission. 3. Analyze billing edit reports, claim scrubber results, and payer rejection notifications; research, correct ...
New
Hyannis, NE · Remote
$17.75 - $22.75/hr
... claim accuracy, completeness, and compliance with payer guidelines prior to submission. 3. Analyze billing edit reports, claim scrubber results, and payer rejection notifications; research, correct ...
New
Identifies and corrects claim issues, performs follow-up on unpaid or denied accounts, and documents actions to support resolution. Communicates with payers and internal teams to clarify requirements ...
New
Identifies and corrects claim issues, performs follow-up on unpaid or denied accounts, and documents actions to support resolution. Communicates with payers and internal teams to clarify requirements ...
New
Identifies and corrects claim issues, performs follow-up on unpaid or denied accounts, and documents actions to support resolution. Communicates with payers and internal teams to clarify requirements ...
New
Identifies and corrects claim issues, performs follow-up on unpaid or denied accounts, and documents actions to support resolution. Communicates with payers and internal teams to clarify requirements ...
New
Examine and analyze policies, contracts and claim forms to determine coverage. * Investigate loss in a prompt manner by investigation, telephone, or correspondence to determine the extent of the ...
Examine and analyze policies, contracts and claim forms to determine coverage. * Investigate loss in a prompt manner by investigation, telephone, or correspondence to determine the extent of the ...
Identifies and corrects claim issues, performs follow-up on unpaid or denied accounts, and documents actions to support resolution. Communicates with payers and internal teams to clarify requirements ...
New
Identifies and corrects claim issues, performs follow-up on unpaid or denied accounts, and documents actions to support resolution. Communicates with payers and internal teams to clarify requirements ...
New
$63K - $82K/yr
WCCS Claim Specialists may also work Fire claims with assignments to Fire Proximity territories and/or In-Office operations as business demands. You will be the first point of contact to meet with ...
$63K - $82K/yr
WCCS Claim Specialists may also work Fire claims with assignments to Fire Proximity territories and/or In-Office operations as business demands. You will be the first point of contact to meet with ...
Omaha, NE · On-site
$20.50 - $21/hr
Special Risk Claim Analyst - Omaha, NE Apply now Job no: 505134 Work type: Full Time Regular Location: Hybrid, Nebraska Categories: Claims/Claims Processing Mutual of Omaha is hiring for a Special ...
Omaha, NE · On-site
$20.50 - $21/hr
Special Risk Claim Analyst - Omaha, NE Apply now Job no: 505134 Work type: Full Time Regular Location: Hybrid, Nebraska Categories: Claims/Claims Processing Mutual of Omaha is hiring for a Special ...
State Farm is on the cutting edge with the use of technology to support claim employees in developing enhanced skillsets to support and protect our policyholders. Not Human or Digital. Human ...
State Farm is on the cutting edge with the use of technology to support claim employees in developing enhanced skillsets to support and protect our policyholders. Not Human or Digital. Human ...
State Farm is on the cutting edge with the use of technology to support claim employees in developing enhanced skillsets to support and protect our policyholders. Not Human or Digital. Human ...
State Farm is on the cutting edge with the use of technology to support claim employees in developing enhanced skillsets to support and protect our policyholders. Not Human or Digital. Human ...
Omaha, NE · On-site
$60K - $85K/yr
Role Overview The Property Claim Adjuster is responsible for investigating, evaluating, negotiating, and resolving homeowner, dwelling, condominium, renters, and commercial property claims across our ...
Quick apply
Omaha, NE · On-site
$60K - $85K/yr
Role Overview The Property Claim Adjuster is responsible for investigating, evaluating, negotiating, and resolving homeowner, dwelling, condominium, renters, and commercial property claims across our ...
Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for ...
Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for ...
Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for ...
Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for ...
Omaha, NE · On-site
Analyzes social media results, public records, and other intelligence sources to determine whether claimant activities, employment status, or reported losses are consistent with claim presentations.
Omaha, NE · On-site
Analyzes social media results, public records, and other intelligence sources to determine whether claimant activities, employment status, or reported losses are consistent with claim presentations.
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 ...
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 ...
Advocate on behalf of clients on claim denials or reservation of rights by analyzing policy language to determine all appropriate avenues to seek coverage. Conduct an in-depth review of all coverage ...
Advocate on behalf of clients on claim denials or reservation of rights by analyzing policy language to determine all appropriate avenues to seek coverage. Conduct an in-depth review of all coverage ...
Advocate on behalf of clients on claim denials or reservation of rights by analyzing policy language to determine all appropriate avenues to seek coverage. Conduct an in-depth review of all coverage ...
Advocate on behalf of clients on claim denials or reservation of rights by analyzing policy language to determine all appropriate avenues to seek coverage. Conduct an in-depth review of all coverage ...
Manage claim activity and maintain timely file documentation and diary management. * Coordinate and supervise independent adjusters and other claim service providers. * Work closely with insureds ...
Manage claim activity and maintain timely file documentation and diary management. * Coordinate and supervise independent adjusters and other claim service providers. * Work closely with insureds ...
Evaluate claim handling quality, including coverage, reserving, documentation, and claim strategy. * Develop structured feedback loops to claims handlers and leadership. * Ensure QA supports ...
Evaluate claim handling quality, including coverage, reserving, documentation, and claim strategy. * Develop structured feedback loops to claims handlers and leadership. * Ensure QA supports ...
$13.29 - $14.54
4% of jobs
$14.54 - $15.79
6% of jobs
$15.79 - $17.04
14% of jobs
$17.13 is the 25th percentile. Wages below this are outliers.
$17.04 - $18.29
12% of jobs
The median wage is $19.14 / hr.
$18.29 - $19.54
21% of jobs
$19.54 - $20.79
14% of jobs
$21.28 is the 75th percentile. Wages above this are outliers.
$20.79 - $22.04
12% of jobs
$22.04 - $23.29
5% of jobs
$23.29 - $24.54
4% of jobs
$24.54 - $25.80
4% of jobs
$25.80 - $27.05
4% of jobs
$13
$20
$27
| Aspect | Claim | Adjuster |
|---|---|---|
| Credentials | May require basic insurance knowledge, certifications vary | Often requires licensing and specific insurance adjuster certifications |
| Work Environment | Typically involves submitting claims, customer service, administrative tasks | Involves investigating, evaluating, and settling insurance claims |
| Industry Usage | Used across insurance sectors for filing claims | Used for assessing and settling claims in insurance companies |
| Search/Comparison Intent | People compare Claim roles to understand filing processes | People compare Adjuster roles to understand claim evaluation |
In summary, a Claim generally refers to the process of submitting an insurance request, while an Adjuster is responsible for investigating and evaluating those claims to determine coverage and settlement. Both roles are integral to the insurance industry but focus on different stages of the claims process.
The most popular types of Claim jobs in Nebraska are:
For Claim jobs in Nebraska, the most frequently searched job titles are:
The top searched job categories for Claim jobs in Nebraska are:

Integrated Resources Inc.
Job Title: Claims analyst
Location: Omaha NE 68154
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.
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.
All your information will be kept confidential according to EEO guidelines.
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996