13 claim operations analyst jobs found in Omaha, NE

Job Description: Pacific Life is seeking talented  Operations Quality Assurance Specialists  to join our Consumer Markets Division in Omaha, NE or Charlotte, NC. In this role, you will play a critical part in ensuring the accuracy, compliance, and quality of life insurance claims processing activities. You will conduct detailed transaction audits, identify trends and root causes, and provide actionable insights that improve operational performance, reduce risk, and strengthen service quality across the organization.  This is an excellent opportunity for individuals looking to grow their career in operations quality, risk, and process improvement within a leading financial services organization.  How You’ll Make an Impact:      Perform detailed quality audits of claims transactions across Pay QA, Set-Up QA, and Follow-Up QA, including claim payment accuracy, interest review and calculation, post-death interest, initial claim setup, documentation,...

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. We’re actively seeking a talented Operations Claims professional to join our Operations Claims processing team within the Consumer Markets Division (CMD) in Omaha, NE or Charlotte, NC. This role follows a hybrid schedule of one day a week in office. As part of the Claims processing team, you’ll move Pacific Life, and your career, forward by ensuring accurate, timely, and compliant processing of insurance claims while delivering exceptional service to customers and internal partners. You will review and process contestable and non-contestable death and living claims on both...

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 PFML-Absence Management Claims Consultant to join our Workforce Benefits Division. As a PFML Absence Management Claims Consultant , you'll play a key role in building and delivering a best-in-class Paid Family and Medical Leave claims experience. This role will serve as a PFML subject matter expert and will be responsible for...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description The P&C Data Analyst supports the development and improvement of analytical models and insights that inform pricing, underwriting, and portfolio management decisions. This role applies data analysis techniques to insurance data to improve risk segmentation and rate adequacy, supporting profitable growth across products and locations. The P&C Data Analyst works closely with pricing actuaries, underwriting, claims, distribution, product partners, data experts, and IT professionals to translate...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description The position is responsible for leading underwriting strategy and execution for our Commercial Lines portfolio, including daily operations of the Commercial Lines underwriting department to ensure performance is aligned with financial and productivity targets.  The position supports company goals by continuously improving core business processes for the division. This role is responsible for reviewing and handling referrals and approving larger, complex risks within their underwriting authority, managing...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description The Senior P&C Data Scientist owns the development and improvement of analytical models and insights that inform pricing, underwriting, and portfolio management decisions. This role applies statistical, machine learning, and data analysis techniques to insurance data to improve risk segmentation and rate adequacy, supporting profitable growth across products and locations. Operating with a high level of independence and accountability, the role partners closely with pricing actuaries, underwriting,...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Claims Learning and Development Supervisor to create and execute Claims technical training programs to enhance employee skills and knowledge, ensuring consistent delivery of training aligned with Company guidelines, business objectives, and operational expectations.  This individual leads a team, managing training initiatives that drive continuous learning resulting in improved productivity and claims outcomes.    Required to travel to Claims offices and various offsite meetings routinely to meet objectives.   LEADERSHIP RESPONSIBILITIES Relies on extensive experience and independent judgment to perform the functions of the job and accomplish goals.  Consistently applies knowledge and expertise to autonomously and proficiently handle complex assignments.  Understands the human dynamics of team formation and maintenance to build effective workgroups.  Develops and...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Summary:    The Quality Improvement job family serves the claims operation in a variety of capacities, most of which are carried out through specialized, technical   expertise . The primary functions of this job family are   comprised   of quality claim audits and quality assurance to   maintain   claims guidelines, consistent processes, level of quality, etc., of internal staff and external vendors. These jobs may also perform estimate reviews and/or do full reinspection. In other...

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description The Senior Product Manager owns the growth and profitability for either the LOB or Region they are assigned. They   are responsible for   developing a product   & pricing   strategy that delivers relevant solutions to our clients   & agents   while protecting the financial strength of the organization.    They have a focus on organizational partnership, market selection, Agent & Client experience, and overall risk management.   They work very independently and serve as   a...

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 talent Operations Risk Support Specialist to join our Ops Risk Support team in Newport Beach, CA or Omaha, NE. This role is hybrid with a one day a week office requirement. As an Operations Risk Support Specialist, you’ll move Pacific Life, and your career forward by partnering with Compliance and the business areas by researching...

Berkshire Hathaway Homestate Companies, Workers Compensation Division, is searching for a Claims Communication and Process Enablement Lead to join its Adjusting Team! This individual is responsible for translating Claims strategy, system changes, and workflow design into clear, consistent, and executable practices across the Claims organization. This individual establishes and maintains disciplined standards for workflow documentation, job-level execution, and practical job aids, ensuring that leadership intent is understood, adopted, and executed consistently along frontline teams. Partners closely with Claims leadership, Transformation, and Technology to ensure change is implemented with clarity, consistency, and accountability.    ESSENTIAL RESPONSIBILITIES:   WORKFLOW DOCUMENTATION AND STANDARDIZATION Owns end-to-end documentation of critical Claims workflows across Adjusting, Medical Management, and operational support functions. Translates complex...

WHAT WE'RE LOOKING FOR We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker’s treatment are effective, efficient, and in accordance with applicable legal requirements. This is a full-time, permanent position within our Medical Management team and that will allow experienced nurses to put their years of clinical knowledge to use in an office environment and learn new skills in this growing industry. No UR experience required!   ESSENTIAL RESPONSIBILITIES Review complex workers compensation medical treatment requests to ensure accordance with evidence-based medical treatment guidelines, which are generally recognized by the national medical community and are scientifically based. Research claim file in relation to the requested medical treatment while interpreting medical reports/claims summaries and applies appropriate established guidelines to requested treatment. Refers...

WHAT WE'RE LOOKING FOR Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate need for a Director of  Reserving to join its Actuarial team!  This individual will oversee the quarterly analysis of loss and loss adjustment expense reserves and provide data to the Finance Department for external financial reporting.  This individual will also conduct research into key drivers affecting loss reserves, including emerging types of claims, claim frequency and severity trends, and loss development patterns and diagnostics.  The position requires clear and engaging communication of information to Senior Leadership with effective data visuals on a frequent basis.    Reports directly  to Chief Actuary.        ESSENTIAL RESPONSIBILITIES AND PRINCIPAL ACCOUNTABILITIES Manages and directs the work of the reserving team (e.g., Actuaries, Analysts), including keeping everyone on task to complete recurring assignments within tight timeframes....