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Medical Claims Associate Jobs in Nebraska (NOW HIRING)

$20 - $27/hr

Position Overview The Claims Operations Associate II provides operational and administrative ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Associate's degree in Nursing with an active RN license. * Required Work Experience : 5 years clinical experience in medical insurance, managed care, case management, or claims management, or a ...

Coding Payment Resolution Spec

York, NE · On-site

$18.50 - $23.50/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews ... High school diploma or Associate degree in Accounting or Business Administration or related field ...

Workers' Compensation Claims Adjuster

Omaha, NE · On-site

$63K - $81K/yr

However,we are open to considering hiring a less qualified candidate (a Trainee or Associate ... medical-only claims for our largest mining account, underwritten by Rockwood Casualty, mostly in ...

$110K - $120K/yr

Working closely with defense attorneys and other vendors including medical case management ... Strong consideration will be given to candidates with industry designations including Associate in ...

Medical Director (Remote)

Omaha, NE · On-site

$212K - $287K/yr

Provide decisions for UW and claims based on solid medical knowledge consistent with current ... And Securian Financial rewards associates for their service by providing additional PTO the longer ...

Medical Director (Remote)

Omaha, NE · On-site

$211K - $287K/yr

Provide decisions for UW and claims based on solid medical knowledge consistent with current ... And Securian Financial rewards associates for their service by providing additional PTO the longer ...

Appeals Rep

Lincoln, NE · On-site

$48K - $65K/yr

Associate Degree or higher * 2 or more years of Grievance & Appeals experience * Medical claims processing experience * Previous inbound call center/customer service experience * Experience with CAS ...

Code Edit Disputes Medical Coder

Lincoln, NE · On-site

$16.25 - $21.75/hr

... claims that contain a code editing related denial or financial recovery. The Medical Coding ... Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent ...

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Medical Claims Associate information

What are some common challenges faced by medical claims associates, and how can they be effectively managed?

Medical Claims Associates often encounter challenges such as managing high volumes of claims, navigating complex insurance policies, and ensuring accuracy under tight deadlines. To address these, it's important to develop strong organizational skills, keep up-to-date with the latest policy changes, and utilize available claims processing software efficiently. Additionally, collaborating closely with healthcare providers and insurance representatives can help clarify discrepancies and resolve issues more quickly, making teamwork and communication key assets in this role.

What does a medical claims associate do?

A Medical Claims Associate is responsible for reviewing, processing, and adjudicating medical insurance claims submitted by healthcare providers or policyholders. They verify the accuracy of claims, ensure compliance with insurance policies, and determine the appropriate payment or denial based on guidelines. The role involves communication with healthcare providers, patients, and insurance companies to resolve discrepancies or gather additional information. Medical Claims Associates play a crucial part in ensuring that claims are handled efficiently and accurately, contributing to the smooth operation of healthcare reimbursement processes.

What is the difference between Medical Claims Associate vs Medical Billing Specialist?

AspectMedical Claims AssociateMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, submit claims, follow up on payments
Industry UsageInsurance companies, healthcare providersHealthcare providers, billing services

While both roles involve working with healthcare payments, a Medical Claims Associate primarily reviews and processes insurance claims to ensure accuracy and compliance. In contrast, a Medical Billing Specialist focuses on generating bills, submitting claims, and managing payment collections. Both roles require similar credentials and often work in healthcare or insurance settings, but their core functions differ in the claims review versus billing process.

What are the key skills and qualifications needed to thrive as a medical claims associate, and why are they important?

To thrive as a Medical Claims Associate, you need strong knowledge of medical terminology, health insurance policies, and claims processing, often supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 or CPT, and basic office applications is essential. Attention to detail, problem-solving, and effective communication are vital soft skills for accuracy and client interactions. These skills ensure timely, accurate claims processing and help prevent errors or fraud, supporting efficient healthcare operations.
What are the most commonly searched types of Medical Claims jobs in Nebraska? The most popular types of Medical Claims jobs in Nebraska are:
What cities in Nebraska are hiring for Medical Claims Associate jobs? Cities in Nebraska with the most Medical Claims Associate job openings:
Infographic showing various Medical Claims Associate job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

$20 - $27/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago


Great American Insurance Group rating

8.8

Company rating: 8.8 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

57th of 304 rated insurance


Job description

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Who We Are

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.

Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.

Position Overview

The Claims Operations Associate II provides operational and administrative support to workers' compensation claims professionals, helping ensure claims are set up, maintained, and processed accurately and efficiently. This role serves as a key partner to adjusters by handling claim-related transactions, correspondence, documentation, and customer inquiries while maintaining high standards of service and accuracy. The position requires strong organizational skills, attention to detail, and the ability to manage multiple priorities in a fast-paced environment.

This is a remote, work-from-home position for candidates located within the Mountain or Central Time Zone and available to work 37.5 hours per week, Monday through Friday from 8:00 a.m. to 4:30 p.m. Mountain/Central Time.

Responsibilities

  • Provide operational support to workers' compensation adjusters by managing claim-related administrative activities.

  • Set up and maintain claim files, ensuring information is entered accurately and updated in a timely manner.

  • Verify coverage, process claim-related transactions, and support payment and financial processing activities.

  • Respond to inquiries received by phone, email, and voicemail, resolving routine issues and escalating complex matters as appropriate.

  • Utilize problem-solving and investigative skills to gather information, identify discrepancies, and support issue resolution.

  • Prepare and distribute correspondence, forms, and other claim-related documentation.

  • Coordinate phone outreach to collect information, schedule appointments, and support claim file development.

  • Assist with litigation support by organizing and providing required claim documentation.

  • Maintain organized workloads and activities through systems such as ClaimConnect, ClaimCenter, OpsNow, Outlook, and other claims platforms.

  • Support policy, claim, and data management processes to ensure accuracy and compliance with established procedures.

  • Collaborate effectively with adjusters, internal departments, and external contacts to facilitate claim handling activities.

  • Maintain professionalism and confidentiality in all interactions and communications.

  • Meet productivity, quality, and service expectations while managing multiple priorities.

  • Follow established guidelines and procedures while seeking guidance on complex or non-routine issues.

Qualifications

  • High school diploma or equivalent required.

  • Experience in claims operations, claims processing, claims support, or a related insurance administrative role required.

  • Experience supporting workers' compensation adjusters or claims professionals strongly preferred.

  • Strong verbal and written communication skills with the ability to interact professionally with internal and external stakeholders.

  • Demonstrated ability to work accurately, manage multiple tasks, and maintain attention to detail in a fast-paced environment.

  • Must be located within the Mountain or Central Time Zone and able to work standard business hours in those time zones.

Business Unit:

Strategic Comp


Salary Range:

$20.00 -$27.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.


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