Claims Examiner jobs in Council Bluffs, IA

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner 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 determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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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.
  • 21 Days Ago

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Claims Examiner - Medical Only Workers Compensation
  • Markel Service Inc.
  • Omaha, NE FULL_TIME
  • What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize oppor...
  • 2 Days Ago

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Salesforce Analyst
  • Premier Claims
  • Omaha, NE FULL_TIME
  • Job Overview: We are seeking a highly skilled Analyst to join our team. As an Analyst, you will be responsible for analyzing data, developing insights, and providing recommendations to support busines...
  • 6 Days Ago

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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...
  • 25 Days Ago

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Medical/Paramedical Examiner
  • APPS Paramedical Services
  • Clarinda, IA CONTRACTOR
  • Work from anywhere in the state of IOWAAPPS Paramedical Services is the nation’s largest and most technologically advanced health examination and information provider. Our network of health profession...
  • 4 Days Ago

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Medicare Supplement - Claim Examiner
  • Physicians Mutual
  • Omaha, NE FULL_TIME
  • Physicians Mutual’ s Claims team is hiring! In this role, the Medicare Supplement Claim Examiner evaluates and responds to health claim service requests for Customers, providers and entitled parties. ...
  • 9 Days Ago

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0 Claims Examiner jobs found in Council Bluffs, IA area

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Financial Services Professional
  • Bankers Life
  • Omaha, NE
  • Bankers Life®, one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to ...
  • 4/30/2024 12:00:00 AM

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Social Security Claims Examiner II, Claims
  • Lincoln Financial Group
  • Omaha, NE
  • Alternate Locations: Work from Home; Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska) Wor...
  • 4/29/2024 12:00:00 AM

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Claims Examiner - Auto Liability
  • Sedgwick
  • Omaha, NE
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A c...
  • 4/28/2024 12:00:00 AM

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Licensed Independent Medicare Insurance Agent - Remote
  • Assurance
  • Omaha, NE
  • Medicare agents - sell Medicare Advantage, Medicare Supplement and PDP from home this AEP! Assurance is looking for lice...
  • 4/28/2024 12:00:00 AM

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Independent Medicare Insurance Agent - Work from Home
  • Assurance
  • Omaha, NE
  • Medicare agents - sell Medicare Advantage, Medicare Supplement and PDP from home this AEP! Assurance is looking for lice...
  • 4/28/2024 12:00:00 AM

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Insurance Agent
  • PREMIER INSURANCE GROUP
  • Omaha, NE
  • Job Description Job Description We are seeking an Insurance Agent to join our winning team! You will be responsible for ...
  • 4/27/2024 12:00:00 AM

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Sales Representative - Health & Life Insurance
  • Milestone
  • Omaha, NE
  • Job Description Job Description Welcome to Milestone!! Come join a group of passionate, honest, insurance professionals ...
  • 4/27/2024 12:00:00 AM

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Telesales Representative
  • Omaha Distributing Co. Inc.
  • Omaha, NE
  • Outbound Telephone Sales of Hand Tools and Painting Tools to Contractors and Hardware Stores. This position is calling H...
  • 4/27/2024 12:00:00 AM

Council Bluffs is a city in and the county seat of Pottawattamie County, Iowa, United States. The city is the most populous in Southwest Iowa, and forms part of the Omaha (Nebr.) Metropolitan Area. It is located on the east bank of the Missouri River, across from the city of Omaha. Council Bluffs was known, until at least 1853, as Kanesville. It was the historic starting point of the Mormon Trail. Kanesville is also the northernmost anchor town of the other emigrant trails, since there was a steam powered boat to ferry their wagons, and cattle, across the Missouri River. Council Bluffs' popula...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,631 to $60,510
Council Bluffs, Iowa area prices
were up 0.8% from a year ago