Top 39 Claims representative Jobs in Omaha Ne

Senior Life Claims Specialist
Pacific Life —Omaha, NE
- $37.08 - $45.32 an hour
- Full-time
- Customer service
- 5 years
- HIPAA
- Paid parental leave
- AD&D insurance
4d
Associate Claims Representative (Remote)
MEM —Omaha, NE
- Full-time
- Remote
- No high school diploma
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid jury duty
Claims Representative
Catholic Mutual Group —Omaha, NE
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Office
- Free parking
- 403(b) matching
Claims Representative – Examiner – Workers’ Compensation
RAS Companies —Omaha, NE
- Full-time
- Microsoft Excel
- Mid-level
- Communication skills
- Paid parental leave
- Paid holidays
Quick Apply
10d
Customer Service Representative
Arch Capital Group Ltd. —Omaha, NE
- Full-time
- Hybrid work
- Bilingual
- Mid-level
- Office
- Paid parental leave
- AD&D insurance
5d
customer service and sales
Lance Juett Insurance Agency Inc —Omaha, NE
- $65,000 - $75,000 a year
- Full-time
- Background check
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
5d
Claims Representative - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred
Sedgwick —Omaha, NE
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
Senior Life Claims Specialist
Pacific Life Insurance Company —Omaha, NE
- $37.08 - $45.32 an hour
- Full-time
- Customer service
- 5 years
- HIPAA
- Paid parental leave
- AD&D insurance
Quick Apply
4d
Insurance Follow-up & Denial Specialist / FT
Children's Nebraska —Omaha, NE
- Full-time
- Word processing
- Computer literacy
- Basic math
11d
Teleservices Representative
Physicians Mutual Insurance Company, Inc. —Omaha, NE
- Full-time
- Continuous improvement
- Entry level
Quick Apply
Customer Service Representative
North End Teleservices, LLC —Omaha, NE
- Full-time
- Word processing
- Computer literacy
- English
Quick Apply
9d
Senior Patient Billing Representative
Nebraska Methodist Health System —Omaha, NE
- Full-time
- Microsoft Outlook
- Medical office experience
- Mid-level
Commercial Insurance Customer Service Representative II
PHARMACISTS INSURANCE COMPANY —Omaha, NE
- $21 - $25 an hour
- Full-time
- Hybrid work
- English
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Pet Ins & Annuity Customer Rep
Physicians Mutual —Omaha, NE
- Full-time
- Research
- High school diploma or GED
- Financial services
- Dental insurance
- Life insurance
Property Claim Representative
IMT Insurance —Council Bluffs, IA
- $55,000 - $102,000 a year
- Online Application
- Hybrid work
- Travel
- Communication skills
- Entry level
- Disability insurance
- Health insurance
Teleservices Representative - Omaha, Bellevue, Norfolk Locations
Physicians Mutual —Omaha, NE
- $19.46 an hour
- Full-time
- Continuous improvement
- Entry level
- Dental insurance
- Life insurance
Customer Experience Specialist
WoodmenLife —Omaha, NE
- $20 an hour
- Full-time
- Hybrid work
- Basic math
- Pass drug screening
- High school diploma or GED
- Life insurance
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Thad Hamilton - State Farm Agent —Papillion, NE
- $45,000 - $65,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Derek Bird - State Farm Agent —Gretna, NE
- $16 - $20 an hour
- Part-time
- Hybrid work
- Communication skills
- Entry level
- Work from home
- Opportunities for advancement
Quick Apply
NE-Omaha * Insurance Agent/Sales Representative*
AMERICAN SENIOR BENEFITS LLC —Omaha, NE
- $45,000 - $200,000 a year
- Full-time
- In-person
- Entry level

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Senior Life Claims Specialist

Pacific Life -
Omaha, NE

Apply Now

Job Details

Full-time
$37.08 - $45.32 an hour
4 days ago

Benefits

Paid parental leave
AD&D insurance
Paid holidays
Health insurance
Dental insurance
Paid time off
Adoption assistance
Parental leave
Vision insurance
401(k) matching
Benefits from day one
Life insurance

Qualifications

Liability determination
Bereavement support
Customer communication
Customer service
Claims payment authorization
Caseload management
Regulatory compliance in claims processing
Insurance regulation
Document review
Insurance policy review
Insurance investigations
Legal compliance
Audit support

Full 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. Why? Because it’s the right thing to do. Pacific Life is more than a job, it’s a career with purpose. It’s a career where you have the support, balance, and resources to make a positive impact on the future – including your own.

We’re actively seeking a talented Sr. Life Claims Specialist to join the Workforce Benefits Division team, this position will be remote.

How you'll help move us forward:

Serve as a subject matter expert on Life claim practices, consulting on best practices and contributing to the design and refinement of internal procedures, workflows, and system requirements.
Mentor and support onboarding of new team members; share expertise and foster knowledge growth within the team.
Proactively identify process gaps or opportunities and contribute to continuous improvement efforts and enterprise initiatives.
Manage a caseload of Group Life insurance claims that will include life, accelerated benefit, accidental death and dismemberment, and life waiver of premium claims from initial review through resolution.
Apply policy provisions to evaluate eligibility, validate beneficiary information, and gather all required documentation.
Analyze claim documentation such as beneficiary designations, autopsy, accident reports, medical, financial, and any other documentation to assess claim impact.
Make timely and accurate decisions by using critical thinking, adherence to policy provisions and sound problem solving skills.
Accurately document decisions, rationale, and customer interactions.
Communicate clearly and empathetically with claimants, beneficiaries, employers, and internal stakeholders.
Collaborate across business functions to ensure a seamless and compliant claims experience.
Demonstrate agility in adapting to changing priorities, business needs, and regulatory requirements.
Maintain a high level of confidentiality, professionalism, and integrity in all claim-related activities.
Perform other duties as assigned.

The experience you bring:

Bachelor’s degree or equivalent work experience preferred
5–7+ years of Life Insurance claims experience required, including adjudication of complex claims such as contestability reviews, exclusions, beneficiary disputes,
Demonstrated expertise in investigating, evaluating, and adjudicating life insurance claims from initial notice through claims decision in accordance with policy provisions and company guidelines
Proven ability to interpret policy language, contractual provisions, and beneficiary designations, ensuring accurate, consistent, and defensible claim outcomes
Possesses a strong knowledge of group life insurance policies, as well as knowledge of relevant regulatory and statutory requirements such as FMLA, ERISA, and HIPAA.
Strong working knowledge of state insurance regulations, ERISA (as applicable), and claims compliance standards, with the ability to apply regulatory requirements to complex claim scenarios
Demonstrated ability to manage a full caseload independently, effectively prioritizing competing demands while meeting service, quality, and turnaround expectations
Advanced analytical and critical thinking skills, including the ability to evaluate medical records, cause of death, financial documentation, and legal instruments (e.g., trusts, assignments, probate)
Strong communication skills with the ability to effectively engage with beneficiaries, funeral homes, attorneys, medical providers, and internal partners, delivering clear, timely, and compassionate communication throughout the claims process
Demonstrated commitment to a customer-centric claims philosophy, with a strong focus on empathy, care, and respect, recognizing the sensitive nature of life claims and the impact on beneficiaries and families
Demonstrated ability to navigate grief and emotionally complex situations with sensitivity and care, adapting communication style to meet individuals where they are and ensuring beneficiaries feel supported, respected, and treated with dignity
Highly organized and detail-oriented, ensuring accurate benefit calculations, thorough documentation, and complete claim file management in support of audit readiness and defensibility
Demonstrates ownership of outcomes, with a focus on timely, accurate, and customer-centered claim resolutions that build trust and confidence

What makes you stand out:

Ability to work independently while also serving as a subject matter expert and resource for less experienced team members, providing guidance and informal mentorship
Ability to manage multiple priorities and adapt quickly in a fast-paced, evolving environment while maintaining quality and consistency
Experience with claims administration systems and workflow tools; ability to quickly develop and maintain strong knowledge of Pacific Life’s Workforce Benefits platforms and processes
Possesses a strong knowledge of group life insurance policies, as well as knowledge of relevant regulatory and statutory requirements such as FMLA, ERISA, and HIPAA.

#LI-KB1

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.

$37.08 - $45.32

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.

Apply Now

Refine Your Search

claims representative jobs in omaha ne

Senior Life Claims Specialist

Associate Claims Representative (Remote)

Claims Representative

Claims Representative – Examiner – Workers’ Compensation

Customer Service Representative

customer service and sales

Claims Representative - General & Product Liability | Multi State Jurisdiction | Licensing: Reciprocal preferred

Senior Life Claims Specialist

Insurance Follow-up & Denial Specialist / FT

Teleservices Representative

Customer Service Representative

Senior Patient Billing Representative

Commercial Insurance Customer Service Representative II

Pet Ins & Annuity Customer Rep

Property Claim Representative

Teleservices Representative - Omaha, Bellevue, Norfolk Locations

Customer Experience Specialist

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

NE-Omaha * Insurance Agent/Sales Representative*

I want to receive the latest job alert for claims representative in omaha ne

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