- Sedgwick (Omaha, NE)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low ... to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...+ Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files… more
- Sedgwick (Omaha, NE)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Hybrid) Claim Representative - Liability | Midwest Region Are you looking for an opportunity ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...To analyze mid-level commercial General Liability / Bodily Injury claims on behalf of our valued clients to determine… more
- Packing Corp of America (Omaha, NE)
- Human Resources Representative (multi-site) Omaha, NE 68107, USA Req #21617 Monday, March 10, 2025 As a Fortune 500 company, Packaging Corporation of America (PCA) ... environmental responsibility. People * Customers * Trust The Human Resources Representative is responsible for providing administrative and human resource generalist… more
- Molina Healthcare (Omaha, NE)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...3 - 5 years customer service, provider service, or claims experience in a managed care setting. * 3+… more
- Otsuka America Pharmaceutical Inc. (Omaha, NE)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Molina Healthcare (Omaha, NE)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... information to providers, members, and pharmacies. + Assists with clerical services/tasks and other day-to-day operations as delegated. + Effectively communicates plan benefit information, including but not limited to, formulary information, copay amounts,… more
- Travelers Insurance Company (Omaha, NE)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... 24 hours of notification. + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
- Avera (Omaha, NE)
- …role ensures financial sustainability and compliance while supporting pricing strategies, claims analysis, and forecasting for the health plan. The position ... role ensures financial sustainability and compliance while supporting pricing strategies, claims analysis, and forecasting for the health plan. The position… more
- Intra-Cellular Therapies, Inc (Omaha, NE)
- …product and brand strategy training targets - including approved product attribute/ claims understanding, awareness of competitive products, as well as related ... within a larger geography. + Conducts regular field visits with each representative to assess performance, skills, and support development through coaching and… more
- Avera (Omaha, NE)
- …to enhance underwriting processes and implement best practices. + Analyze claims experience and trends to inform underwriting decisions and contribute to ... speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential… more
- Avera (Omaha, NE)
- …adherence to best practice and regulatory mandates relative to provider networks, claims outcomes and medical expense, integrating them into Network Services and ... speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential… more
- CDM Smith (Omaha, NE)
- …specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more