Claims Processing Director jobs in Omaha, NE

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Director of Claims
  • Ten Four Truck Insurance
  • Carter, IA FULL_TIME
  • The Ten Four Insurance team has been around for over 30 years and only focuses on the Trucking Industry. We understand the insurance needs of Professional Truck Drivers and Owners. Join our team at Ten Four Truck Insurance, a leader in competitive commercial trucking insurance!

    Position Overview: The Director of Claims manages all claims operations. Including Commercial Auto Liability, Cargo, Physical Damage, and Recovery claims teams, to ensure prompt and equitable claim service is provided to customers in accordance with internal and external policies, standards, and requirements.

    Schedule: Monday- Friday | 8 a.m.- 5 p.m.

    Benefits:

    • Competitive Compensation: $$
    • Health, Dental, and Vision Insurance.
    • 401 (k) Match.
    • Employer paid Life Insurance plan.

    Responsibilities:

    • Hires, trains, mentors, and supervises multiple claims teams to ensure customer service, file quality, and productivity objectives are met.
    • Monitors claims files to evaluate quality of investigation; coverage analysis; identification of liability/compensability and damages; documentation and reporting; accurate and timely reserving; and goal-oriented action planning.
    • Monitors claim file data quality for accuracy. Provides technical advice and identifies coaching opportunities to enhance file quality and individual job performance.
    • Creates reports & analytics for various audiences, including staff, management, and executives as appropriate.
    • Serves as the business administrator for a SaaS based claim system.
    • Maintains relationships with outside vendors/partners and evaluates against broader market on a regular basis. Assists in onboarding of new vendors, technology, or services.
    • Regularly audits claim files to verify they follow internally established guidelines. Creates and implements effective coaching/training action plans based on results.
    • Establishes individual staff performance and development goals, measuring results, rewarding achievement, or taking corrective action as needed. Provides timely and specific feedback.
    • Develops and implements formal training and process improvement as needed.
    • Leads and participates in claims-related projects as needed.
    • Works with internal subject matter experts in the areas of operations, safety, compliance, and legal to ensure the efficient flow of information in timely manner to the claims department.
    • Works closely with legal team on litigated files or files that may lead to litigation.
    • Facilitates regular claims meetings and roundtables with relevant stakeholders and escalates specific claims as needed.

    Qualifications:

    • Five plus years of claims experience, including experience in a leadership role.
    • Commercial trucking experience strongly preferred.
    • Experience working with and manipulating large amounts of data to gain insight into business operations required.
    • High level of proficiency with Microsoft Office Suite
    • Experience as a business administrator of a SaaS based claim system strongly preferred.
    • Bachelor’s Degree preferred but not required.

    Knowledge, Skills & Abilities:

    Ability to travel on an occasional basis; receive communications after business hours regarding large loss activity; organize, prioritize, and manage multiple tasks in a fast-paced environment; quickly and professionally respond to customer inquiries; effectively manage a project and/or lead a team; lead people and get results through others; communicate effectively with all levels of the organization; and attract, coach, and develop talent. Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills including presentation skills.

    Ten Four Insurance is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, national origin, ancestry, gender, gender identity, marital status, status with regard to public assistance, citizenship status, physical or mental disability, sexual orientation, membership or activity in a local commission, veteran status, age, or any other status protected by law.

    Military veterans are encouraged to apply.

    Job ID: 3525

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) 4% Match
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • In-person
    • Office

    Education:

    • Bachelor's (Preferred)

    Experience:

    • Claims: 5 years (Required)
    • Leadership: 4 years (Preferred)

    Ability to Relocate:

    • Carter Lake, IA 51510: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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Technical Services Manager - Soy Processing
  • Ag Processing Inc.
  • Omaha, NE FULL_TIME
  • Technical Services Manager - Soy ProcessingOmaha, NE - Corp-090Ag Processing Inc (AGP) is looking for a dynamic Technical Services Manager for Soy Processing Operations. This position is responsible f...
  • 17 Days Ago

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Assistant Professor, Department of Prosthodontics- Implant Program Director
  • Implant Program Director - Creighton University Careers
  • Omaha, NE FULL_TIME
  • Assistant/Associate Professor of Prosthodontics Creighton University School of Dentistry is seeking a motivated individual to support the didactic and clinical curricula of the school through a broad ...
  • 9 Days Ago

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Maintenance
  • Ag Processing Inc
  • Manning, IA FULL_TIME
  • Ag Processing Inc (AGP) currently has an opening for a self-motivated full time Maintenance person to join our team in Manning, IA! This person will be responsible for determining and completing appro...
  • 18 Days Ago

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Maintenace
  • Ag Processing Inc
  • Manning, IA FULL_TIME
  • Ag Processing Inc (AGP) currently has an opening for a self-motivated full time Maintenance person to join our team in Manning, IA! This person will be responsible for determining and completing appro...
  • 19 Days Ago

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QA Automation Developer II
  • Ag Processing Inc
  • Omaha, NE FULL_TIME
  • QA Automation Developer IIOmaha, NE - Corp-090Ag Processing Inc (AGP) offers a positive work/life balance, stability, and career growth opportunities along with the best retirement and insurance benef...
  • Just Posted

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0 Claims Processing Director jobs found in Omaha, NE area

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Corporate Director of EHS
  • Road Safety Services Inc.
  • Omaha, NE
  • Are you an experienced EHS Guru looking to make a change in your career, we are looking for you! Road Safety Services is...
  • 4/22/2024 12:00:00 AM

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Site Safety Manager
  • Commonwealth Electric Company
  • Omaha, NE
  • ** Commonwealth Electric Company of the Midwest** ** Site Safety Manager** Omaha, NE 68127 **Position Summary:** The Sit...
  • 4/22/2024 12:00:00 AM

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Account Manager- Omaha and Lincoln, NE
  • Caris Life Sciences
  • Omaha, NE
  • Job Description Job Description Position Summary The Account Manager is primarily responsible for the growth of all acco...
  • 4/21/2024 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...
  • 4/21/2024 12:00:00 AM

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Contract Administrator - Legal
  • Nebraska Furniture Mart
  • Omaha, NE
  • At Nebraska Furniture Mart (NFM), we've been hiring friends since 1937-people who share our passion for helping customer...
  • 4/21/2024 12:00:00 AM

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Operations Specialist - Payroll / Billing / Onboarding
  • Aveanna
  • Council Bluffs, IA
  • Operations Specialist - Payroll / Billing / Onboarding ApplyRefer a FriendBack Job Details Requisition #: 195477 Locatio...
  • 4/21/2024 12:00:00 AM

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Certified Medication Technician Aide CMT/QMA/CMA/L1MA
  • Cedarhurst Senior Living
  • La Vista, NE
  • Can you be a real, true friend? Is it your nature to be open, listen deeply, know your heart, respond genuinely, and car...
  • 4/21/2024 12:00:00 AM

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Dining Server
  • Cedarhurst Senior Living
  • Omaha, NE
  • Can you be a real, true friend? Is it your nature to be open, listen deeply, know your heart, respond genuinely, and car...
  • 4/21/2024 12:00:00 AM

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 Processing Director jobs
$150,839 to $202,698
Omaha, Nebraska area prices
were up 0.8% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020