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Insurance Claims Processing Jobs in Nebraska (NOW HIRING)

Indemnity Claims Specialist

Omaha, NE · Remote

$51K - $83K/yr

... process taking into consideration experience, qualifications, and overall fit for the role. The ... Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and ...

Review and process medical bills, applying fee schedules, coding standards, and costcontainment ... claims experience * Experience evaluating medical records, treatment plans, and claim disputes

... processes. * Demonstrates that the focus of quality assurance reviews are proper and handles ... Utilizes claims and estimating systems daily. * Obtains and maintains required licenses. * Obtains ...

Sr Claims Representative

Omaha, NE · On-site

$43K - $67K/yr

... claims. This includes analyzing coverage, contacting the customers, investigating the facts ... process. Employees in this roleare required toaccurately record all hours worked ...

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Insurance Claims Processing information

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.

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 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:
Infographic showing various Insurance Claims Processing job openings in Nebraska as of May 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 6% Hybrid, and 12% Remote job distribution.

Other

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago


Job description

Company

Argo Group

Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.


Job Description

Business Title(s):SeniorTechnicalGeneral Liability Bodily InjuryClaims Specialist

Employment Type:Full-Time

FLSA Status:Exempt

Location:In-Office

____________________________________________________________________________

Summary:

We are looking for a highly capableSenior TechnicalGeneral Liability Bodily Injury ClaimsSpecialistto join our teamandwork from either ourLos Angeles, CAor Omaha, NE offices.Alternatively, we can also fill this role in our offices inAlbany, NY, Chicago, IL, New York City, NY, or Richmond, VA.We work together in the office five days a weekin order tostrengthen our culture, build team connections, and drive profitability.The position reports to a manager based in Los Angeles and is focused onadjudicatingcommercial General Liability Bodily Injury claims contribute to providing superb results for our clients.

This is a 100%in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Essential Responsibilities:

  • Working with limited oversight under broad management direction,adjudicategeneral liability bodily injuryclaims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
  • Conductingdetailed information gathering, analysis and investigation to find solutions to issues that arenumerousand undefined.
  • Reporting to senior management and underwriters Investigating claims promptly and thoroughly \
  • Analyzing claims forms, policies and endorsements, client instructions, and other records todeterminewhether the loss falls within the policy coverage.
  • Investigating claims promptly and thoroughly, including interviewing allinvolved parties.
  • Managing claims in litigation
  • Managing diarytimelyand complete tasks to ensure that cases move to the best financial outcome andtimelyresolution.
  • Properly setting claim reserves.
  • Identifying, assigning, and coordinating the assignment and coordination ofexpertiseresources toassistin case resolution.
  • Preparing reports forfiledocumentation
  • Applying creative solutions which result in the best financial outcome.
  • Negotiating settlements
  • Processing mail and prioritizing workload.
  • Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
  • Having an appreciation and passion for strong claim management.

Qualifications / Experience Required:

  • Musthave 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).
  • A deep knowledge ofGeneral Liability Bodily Injuryclaims, as well as an exceptional customer service focus typically obtainedthrough:through:
  • A minimum of seven years' experienceadjudicatingGeneral Liability Bodily Injury claimswith extensive experience with exposure of $100,000 or more.
  • Bachelor'sdegree from an accredited universityrequired. Two or more insurance designations or fouradditionalyears of related experienceadjudicatinggeneralliabilitybodily injuryclaims beyond the minimum experiencerequiredabove may be substituted in lieu of a degree.
  • Possession or the ability to quickly(within90 daysof hire)obtain a license in eachjurisdictionrequiring a license toadjudicatefirst party claims.
  • Must work independently anddemonstratethe ability to exercise sound judgment.
  • Must have excellent communication skills and the ability to build lasting relationships.
  • Excellent evaluation and strategic skillsrequired.
  • Strong claim negotiation skillsa must.Ability to takeproactiveand pragmatic approach to negotiation.
  • Mustpossessa strong customer focus.
  • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
  • Ability to articulate the financial value of your work at multiple responsibility levels inside our clients' business which may include CEO.
  • Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
  • Demonstrates inner strength.Hasthe courage to do the right thing anddemonstratesiton a daily basis.
  • 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.
  • Client focus - the ability to effectivelydeterminespecific client needs and to provide value added solutions.
  • Successful traits (flexibility, ability to thrive in change, being resourceful on your own)necessaryto work in afast pacedenvironment that is evolving constantly.
  • Ability to develop andmaintainproductive relationships with clients, businesspartnersand organizational peers with a focus ontimelyand meaningful exchanges of information.
  • Exhibit natural and intellectual curiosityin order toconsistently explore and consider all options and is not governed by conventional thinking.
  • Useslistening and questioning techniques to effectively gather information from insureds and claimants.
  • Demonstrates an understanding of mechanisms available for resolvingclaimssettlement disputes (e.g.arbitration and mediation) and when these are used.
  • Proficient in MS Office Suite and other business-related software.Experience working with Guidewire isstronglypreferred.
  • Polished and professional written and verbal communication skills.
  • The ability to read and write English fluently isrequired.
  • Mustdemonstratea desire for continued professional development through continuing education and self-developmentopportunities.

The base salary range provided below is for hires in those geographic areas only and will becommensuratewith 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.

  • Albany and Chicago Pay Range:$151,000 - $181,250
  • Los Angeles and New York City Pay Range:$165,000 - $198,000

About Working in 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 andtreateach case as the unique situation it is.

We have a very flat organizational structure, enabling our employeeshavemore 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 210-321-8400.

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 ourHR 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.