Claims Examiner, Sr. jobs in Omaha, NE

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

Recently Added Claims Examiner, Sr. jobs

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Work Comp Claims Examiner
  • Werner Enterprises
  • Omaha, NE FULL_TIME
  • The main purpose of this position is to examine and manage both medical only and lost time workmen's compensation claims in accordance with the Nebraska Workmen's Compensation Act.
    ESSENTIAL JOB FUNTCIONS
    The job functions listed below represent the essential job duties and responsibilities of the above- listed position.

    • Receive phone calls from employees reporting of an injury, filing a claim, or inquiring about a claim.
    • Coordinate medical bills and manage claims related to an injury, until the claim is closed.
    • Enter data into the computer system dealing with information within a claim such as medical status, medical bills, reports, and wage loss.
    • Examine Workmen's Compensation claims and determine approval or denial of claims.
    • Perform other related duties as assigned by supervisory personnel.

    KNOWLEDGE, SKILLS, AND ABILITIES
    The requirements listed below are representative of the knowledge, skill, and/or ability required.
    Reasonable accommodations may be made to enable individuals with disabilities to perform the
    essential functions.
    • Strong written and oral communication skills.
    • Ability to communicate with customers, drivers, and co-workers in a courteous, sensitive and
    professional manner.
    • Excellent decision making skills.
    • Knowledge in operating a PC.

    EDUCATION AND EXPERIENCE
    • Minimum of an Associate's degree from an accredited college with emphasis in Business Management
    or Insurance preferred or equivalent experience.
    • Knowledge of medical terminology required.
    • Two to three years experience with workers' compensation claims processing or equivalent experience
    preferred.
    • One to two years of experience in insurance operations preferred.
    • Receive phone calls from employees reporting of an injury, filing a claim, or inquiring about a claim.
    • Coordinate medical bills and manage claims related to an injury, until the claim is closed.
    • Enter data into the computer system dealing with information within a claim such as medical status,
    medical bills, reports, and wage loss.
    • Examine Workmen's Compensation claims and determine approval or denial of claims.
    • Perform other related duties as assigned by supervisory personnel.
    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.
  • 10 Days Ago
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2
Sr. Residential Title Examiner - Remote
  • 27-4029120 First American Mortgage Solutions, LLC
  • Nebraska, NE FULL_TIME
  • Who We Are Join a team that puts its People First! First American's Agency Division is dedicated to providing our policy-issuing agents with resources, services and underwriting guidance needed to ach...
  • 11 Days Ago
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P
Claim Examiner
  • Physicians Mutual
  • Omaha, NE FULL_TIME
  • Physicians Mutual’ s Claims team is hiring! In this role, the Claim Examiner evaluates and responds to health claim service requests for Customers, providers and entitled parties. Duties Include: Foll...
  • 2 Months Ago
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A
Medical/Paramedical Examiner
  • APPS Paramedical Services
  • Red Oak, IA FULL_TIME
  • Work from home!APPS Paramedical Services is the nation’s largest and most technologically advanced health examination and information provider. Our network of health professionals conducts physical ex...
  • 14 Days Ago
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P
Medical Examiner Investigator - On Call
  • Pottawattamie County
  • Council, IA OTHER
  • The Pottawattamie County Medical Examiner's Office is announcing the hiring of on-call Medical Examiner Investigators. Individuals in this position are responsible for the investigation of sudden deat...
  • 1 Day Ago
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P
Life Claim Examiner
  • Physicians Mutual
  • Omaha, NE FULL_TIME
  • Physicians Mutual is hiring for a full-time Life Claims Examiner. The selected candidate will be responsible for communicating with beneficiaries, providers and other involved parties; analyzing life ...
  • 6 Days Ago
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0 Claims Examiner, Sr. jobs found in Omaha, NE area

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EHS Specialist
  • Hiring Now!
  • Oakland, IA
  • Job DescriptionThis role is responsible for assisting the Facility EHS Manager in leading the EHS culture while ensuring...
  • 4/19/2024 12:00:00 AM
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K
Senior Workers' Compensation Claims Adjuster | Remote
  • KING'S INSURANCE STAFFING LLC
  • Omaha, NE
  • Our client, an A-rated Insurance Carrier, is seeking to add a strong Senior Workers' Compensation Claims Examiner with s...
  • 4/18/2024 12:00:00 AM
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D
Vocational Rehabilitation Counselor
  • Department of Veterans Affairs
  • Omaha, NE
  • Summary Vocational Rehabilitation Counselors (VRCs) provide and coordinate a wide range of rehabilitation, counseling, a...
  • 4/18/2024 12:00:00 AM
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Plant Human Resources Generalist
  • Greater Omaha Packing
  • Omaha, NE
  • Position Type: Full-time Department: Human Resources SUMMARY: Responsible for providing support in the implementation of...
  • 4/18/2024 12:00:00 AM
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O
EHS Specialist
  • OSI Group
  • Oakland, IA
  • This role is responsible for assisting the Facility EHS Manager in leading the EHS culture while ensuring the facility r...
  • 4/16/2024 12:00:00 AM
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AD, Access & Reimbursement NPS Cardiovascular - Omaha, NE - Remote
  • Novartis AG
  • Omaha, NE
  • About the Role Location: Remote About the Role: Job Purpose: The Associate Director, Access & Reimbursement, Cardio Rena...
  • 4/16/2024 12:00:00 AM
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A
Commercial Auto Claims Adjuster
  • Applied Underwriters
  • Omaha, NE
  • Applied Underwriters, Inc., a global risk services company, is seeking to hire an experienced Auto Claims Adjuster adept...
  • 4/15/2024 12:00:00 AM
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Special Investigations Specialist
  • National Indemnity Company
  • Omaha, NE
  • Company: NICO National Indemnity Company As a member of the Berkshire Hathaway group of insurance companies, we offer ou...
  • 4/15/2024 12:00:00 AM
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About Omaha, Nebraska

Omaha (/ˈoʊməhɑː/ OH-mə-hah) is the largest city in the state of Nebraska and the county seat of Douglas County. Omaha is located in the Midwestern United States on the Missouri River, about 10 miles (15 km) north of the mouth of the Platte River. The nation's 40th-largest city, Omaha's 2018 estimated population was 466,061. Omaha is the anchor of the eight-county, bi-state Omaha-Council Bluffs metropolitan area. The Omaha Metropolitan Area is the 59th largest in the United States, with an estimated population of 944,316 (2018). The Omaha-Council Bluffs-Fremont, NE-IA Combined Statistical Are...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$59,241 to $76,379
Omaha, Nebraska area prices
were up 0.8% from a year ago
View detail

What does a Claims Examiner, Sr. do?

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020