Claims Examiner II

National Indemnity Company•Omaha, WA

21h•Onsite

About The Position

NICO National Indemnity Company, a member of the Berkshire Hathaway group of Insurance Companies, offers unparalleled financial strength and stability with a "large company" benefits and a "small company" atmosphere. This position involves investigating, evaluating, providing defense if appropriate, negotiating, and resolving assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with those contracts and applicable law, within documented authority. Founded in 1940, NICO has become one of the leading property & casualty members of the Berkshire Hathaway Group, offering one of the widest selections of commercial insurance products in the industry and the highest possible financial strength rating by A.M. Best (A++XV rating). The company values its employees, investing in and encouraging their total well-being, and fostering a comfortable, family-like atmosphere at its home office or owned agencies.

Requirements

Bachelor's degree in related field or equivalent work experience.
One or more years work experience.
Investigation skills.
Evaluation and analysis skills.
Negotiation skills.
Case management skills.
Time management and prioritization skills.
Excellent oral and written communication, especially with individuals outside the Company.
Ability to organize time and resources and handle multiple high priorities.
Ability to research and evaluate alternatives, reach decisions, and make recommendations.
Ability to maintain strict confidentiality.
Ability to meet deadlines.
Ability to work with detail with accuracy.
Ability to work well with others.
Obtain and maintain all required licenses and certifications.

Nice To Haves

Knowledge of interpretation and application of insurance contracts.
Knowledge of insurance claim procedures, loss evaluation methods and claim resolution alternatives.
Insurance related courses such as AIC, CPCU.

Responsibilities

Investigate assigned claims reported under insurance contracts provided by affiliated Companies, including identification of information and documents needed to evaluate claims, assignment and direction of independent adjusters and review of public and other records and documents.
Contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives.
Comply with claims handling laws and regulations.
At higher levels, may engage defense counsel as directed and monitor defense of Insureds in consultation with management as necessary or may work directly with internal legal counsel.
Identify, evaluate and, in consultation with management as necessary, analyze and determine respective rights and obligations of Company, Insured, Claimants and others under insurance contracts applicable to assigned claims.
Comply with laws of applicable jurisdiction.
Coordinate with Legal Department on coverage, claims handling compliance, and other legal issues.
Analyze, evaluate, and estimate liability of Insureds and loss of Claimants/Insureds for assigned claims and identify all potential losses to which Companies’ contracts of insurance apply.
Identify and report potential fraud to Special Investigation Unit.
Trains on and uses decision theory principles to evaluate various claim settlement scenarios in the settlement process.
Establish and timely modify appropriate case reserve reflecting available information regarding assigned claims.
Review and approve or disapprove invoices from independent adjusters and others for allocated loss adjustment expenses.
Maintain and timely review diary of assigned claims.
Negotiate and resolve assigned claims within established authority or submit authority request and recommend resolution to manager.
Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties; review, establish and modify appropriate units reflecting potential loss exposures; maintain appropriate Claim File including all required electronic and other records and provide information regarding assigned claims to manager and others as required.
Obtain and maintain all required licenses and certifications; maintain current knowledge of insurance and claim management principles and practices through review of published opinions, trade periodicals and other professional literature and conferences.

Benefits

Retirement and savings plan with immediate enrollment with 100% employer match up to 5%.
Medical insurance for regular, full-time employees and eligible dependents.
Dental insurance for regular, full-time employees and eligible dependents.
Vision insurance for regular, full-time employees and eligible dependents.
Dedicated Learning & Development program for employees to grow personally and professionally.
100% upfront Educational Reimbursement program.
Subsidized downtown parking.
Competitive time off policies including parental leave.
Employee Assistance program.
Life insurance.
Disability insurance.
Complimentary state-of-the-art onsite fitness center (Omaha office).
Robust wellness program.
Numerous volunteer and networking opportunities with other emerging professionals.
Employee Resource Groups for volunteering, connecting with others, social gatherings, and professional development.
Companywide surveys for employee input.