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Insurance Claims Processing Jobs in Nebraska (NOW HIRING)

Pacificlife

Operations Claims Specialist

Omaha, NE

$26/hr

You will review and process contestable and non-contestable death and living claims on both annuity contracts and life insurance policies. This position may be filled at the Operations Claims ...

Oral Surgery Partners

Insurance Coordinator

Omaha, NE · On-site

This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills ...

Oral Surgery Partners

Insurance Coordinator

Omaha, NE · On-site

This includes processing claims, verifying insurance coverage, handling patient or client inquiries, and ensuring compliance with relevant regulations. The role requires strong communication skills ...

York General

Insurance Biller

York, NE · On-site

Strong understanding of insurance claims processes, follow-up, and denial resolution * High attention to detail and accuracy * Excellent communication and problem-solving skills Take the Next Step ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What does an insurance claims processor do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
What are popular job titles related to Insurance Claims Processing jobs in Nebraska? For Insurance Claims Processing jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Nebraska look for? The top searched job categories for Insurance Claims Processing jobs in Nebraska are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Nebraska as of July 2026, with employment types broken down into 85% Full Time, 12% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.
Operations Claims Specialist

Operations Claims Specialist

Pacific Life Insurance Company

Omaha, NE

$26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Pacific Life rating

7.4

Company rating: 7.4 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

221st of 299 rated insurance

Job description

Job Description:

Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire industry for the better.

We're actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC. This role follows a hybrid schedule of one day a week in office.

As part of the Claims processing team, you'll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. You will review and process contestable and non-contestable death and living claims on both annuity contracts and life insurance policies.

This position may be filled at the Operations Claims Associate, Operations Claims Specialist, Sr. Operations Claims Specialist, or Sr. Operations Claims Analyst level based on experience and business needs, and we are open to hiring across all levels.

How you'll help move us forward:

Claims Processing & Adjudication

  • Review claims against contract and policy provisions to ensure accuracy and appropriate resolution

  • Process transactions accurately with complete documentation and payment validation

  • Identify and document outstanding requirements and required next steps

  • Maintain clear and detailed claim notes for continuity of service

  • Ensure adherence to regulatory, compliance, and procedural standards

Customer & Partner Communication

  • Respond to customer and internal partner inquiries via phone and email

  • Communicate clearly, professionally, and with empathy, especially in sensitive claim situations

  • Research and resolve claim-related inquiries within service level expectations

  • Escalate complex or high-risk issues appropriately

Operational Excellence & Risk Management

  • Balance accuracy, efficiency, and risk mitigation in claims decisions

  • Identify and report errors, process gaps, and improvement opportunities

  • Follow established procedures, job aids, and knowledge resources

  • Support workload balancing and queue management priorities

Collaboration & Team Support

  • Partner with peers, leadership, and cross-functional teams to resolve issues

  • Support team workflow needs and participates in functional rotations

  • Contribute to a professional, collaborative team environment

Leadership, Training & Continuous Improvement (Sr. Operations Claims Specialist)

  • Provide mentoring, coaching, and peer training

  • Conduct quality reviews and identify trends

  • Support process improvements, documentation updates, and project initiatives

  • Serve as a subject matter expert for complex or escalated claims

The experience you bring:

  • Operations Claims Associate: 0-2 years of operations or insurance-related experience

  • Operations Claims Specialist: 2-3+ years of claims processing experience with demonstrated proficiency

  • Sr. Operations Claims Specialist: 3+ years of advanced claims experience, including complex or contestable claims

  • Sr. Operations Claims Analyst: 5+ years of experience with expertise in complex or contestable claims

  • Strong analytical, critical thinking, and problem-solving skills

  • High attention to detail with ability to manage multiple priorities

  • Ability to balance accuracy and efficiency in a fast-paced environment

  • Strong written and verbal communication skills, including handling sensitive situations with empathy

  • Ability to work both independently and collaboratively

What makes you stand out:

  • Experience with life insurance and/or annuity claims

  • Experience handling contestable claims or investigations

  • Experience with training, mentoring, or coaching

Education Requirements:

  • Bachelor's degree or equivalent combination of education and experience

Level Differentiation & Compensation:

Compensation will vary depending on level, experience, and qualifications, and location.

Operations Claims Associate

  • Entry-level role focused on developing foundational claims knowledge and skills

  • Omaha Compensation: $24 - $26/hr.

  • Charlotte Compensation: $25 - $27/hr.

Operations Claims Specialist

  • Independently performs advanced claims transactions and meets performance expectations

  • Omaha Compensation: $26 - $28/hr.

  • Charlotte Compensation: $27 - $29/hr.

Sr. Operations Claims Specialist

  • Handles complex or contestable claims and contributes to training, quality, and process improvement efforts

  • Omaha Compensation: $32 - $34

  • Charlotte Compensation: $33 - $36

Sr. Operations Claims Analyst

  • Serves as subject matter expert and leads complex investigations and cross-functional initiatives

  • Omaha Compensation: $39 - $41

  • Charlotte Compensation: $41 - $43

#LI-RB1

Base Pay Range:

The base pay range noted represents the company's good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay.

Your Benefits Start Day 1

Your wellbeing is important to Pacific Life, and we're committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we've got you covered.

  • Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents

  • Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off

  • Paid Parental Leave as well as an Adoption Assistance Program

  • Competitive 401k savings plan with company match and an additional contribution regardless of participation

You Can Be Who You Are

We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential.

What's life like at Pacific Life? Visit Instagram.com/lifeatpacificlife

EEO Statement:

Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.

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About Pacific Life

Sourced by ZipRecruiter

When you purchase life insurance and retirement solutions, you're buying a promise. A promise that today, tomorrow or ten years from now, we'll be there. For more than 150 years, our clients have trusted Pacific Life to protect what matters most to them - their families, their businesses, their futures.

Industry

Finance and insurance

Company size

1,001 - 5,000 Employees

Headquarters location

Newport Beach, CA, US

Year founded

1868

Social media

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