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Claims Processing Manager Jobs in Nebraska (NOW HIRING)

... processing, and adjusting claims. * Directs claims staff hiring, oversight, coaching, and training. * Management of BI claims, including a litigation management along with experience in settlement ...

... processing, and adjusting claims. * Directs claims staff hiring, oversight, coaching, and training. * Management of BI claims, including a litigation management along with experience in settlement ...

We are looking for a highly capable Senior Claims Account Manager to join our team and work from ... concerns, process gaps, and opportunities to improve financial outcomes.Hold TPAs and internal ...

New

The candidate must also understand that runoff claims management requires a different operating ... process gaps, and opportunities to improve financial outcomes. * Hold TPAs and internal claim ...

Claims Adjuster Trainee

Omaha, NE · Hybrid

$54K - $57K/yr

In a fast-paced environment, you'll learn how to resolve a full case load of claims efficiently while managing the claims process from start to finish. You'll have the support of a collaborative team ...

Family Medicine Coder

York, NE · On-site

$18.50 - $24.50/hr

Every account you manage contributes to high-quality care across every stage of life ... Process insurance claims and verify required information for timely reimbursement. * Investigate ...

Claims Technician

Omaha, NE

$19.69 - $27.08/hr

The Claims Technician, with moderate guidance, is responsible for initiating, directing, and controlling the activity in support of case management and the claims process in accordance with the ...

Manage expenditures for the Triage Department to budget / plan. * Support the professional claims selection process to retain claims professionals that consistently demonstrate appropriate technical ...

Family Medicine Coder

York, NE · On-site

$18.50 - $24.50/hr

Every account you manage contributes to high-quality care across every stage of life ... Process insurance claims and verify required information for timely reimbursement. * Investigate ...

Showing results 21-40

Claims Processing Manager information

What does a claims processing manager do?

A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.

What are the key skills and qualifications needed to thrive as a claims processing manager?

To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.

What are the primary challenges faced by a claims processing manager, and how can they be addressed?

Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago


Werner Enterprises rating

8.1

Company rating: 8.1 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

44th of 366 rated logistics


Job description

ESSENTIAL JOB FUNCTIONS
The job functions listed below represent the essential job duties and responsibilities of the listed position.
  • Manages, reviews, and resolves claims, including determining course of action, developing arguments and addressing claimants' rebuttals, conducting preliminary negotiations, and preparing and issuing notices to claimants and other third-parties.
  • Manages administrative, financial, accounting, and reporting functions for claims.
  • Assists in overall case resolution strategies, settlements, and litigation support.
  • Authorizes appropriate payment or refers claims to investigators for further review.
  • Analyzes and identifies trends and provides reports as necessary.
  • Provides input for forecasting and planning activities.
  • Generates risk analysis reports for management.
  • Monitors and participates in quality control and reviews.
  • Manages and monitors all high-exposure and complex files.
  • Oversees operational management of the Claims Department, including overall productivity, efficiency, and accuracy.
  • Provides expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing, and adjusting claims.
  • Directs claims staff hiring, oversight, coaching, and training.
  • Management of BI claims, including a litigation management along with experience in settlement negotiations.
  • Individual should have claims handling background along with leadership/supervisor experience.

EDUCATION AND EXPERIENCE
  • High school Graduate or equivalent required.
  • AA degree or some college preferred.
  • Two-Three years claims experience preferred.
  • Working knowledge of Google, Google Sheets- overall systems knowledge.
  • Maintain any credentials required to perform functions.
We know benefits are critical and we are committed to offering comprehensive and affordable options for you and your loved ones. This position is eligible for benefits, which include medical, dental and vision plans. We also offer a 401(k) plan, stock purchase plan, paid time off, life insurance, disability plans and other optional supplemental coverage.
Werner Enterprises provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, genetic information or veteran status or other status protected by law. We encourage applicants of all ages as we do not discriminate on the basis of an applicant's age.
By clicking "Submit" you are expressly consenting to our Privacy Policy (available at https://www.werner.com/privacy-policy/) and to Werner Enterprises, Inc., its representatives, and affiliates ("Werner") contacting you about your inquiry, and that Werner may collect sensitive information about you to consider your employment as explained further in our Privacy Policy. All information collected will be handled and retained as explained in the Privacy Policy.

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