Claims Specialist

BP&COmaha, NE
13d$53,000 - $67,000

About The Position

PURPOSE OF THE JOB: The Specialists are responsible for the investigation, evaluation, negotiation and settlement of injury claims. This includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Specialists are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly. The Specialists work closely with other departments, vendors and defense counsel as needed throughout the claim process. Depending on the level of complexity, claim values can range from a nominal amount to millions of dollars.

Requirements

  • 4 years’ claims experience.
  • Maintain Continuing Education (CE) requirements for state licensing when appropriate.

Nice To Haves

  • Bachelor’s degree in a related field or the equivalent years’ work experience.

Responsibilities

  • Manage and resolve claims involving Bodily Injury (BI) claims.
  • Conduct thorough investigations into injury-related losses, including medical records review, liability assessment, and damages evaluation.
  • Negotiate settlements with claimants, attorneys, and medical providers to ensure fair and timely resolution of BI claims.
  • Apply advanced knowledge of BI claim handling best practices, state regulations, and coverage interpretation to drive accurate and compliant outcomes.
  • Makes liability determination for based on investigation and the applicable liability law.
  • Includes sending out required forms & obtaining releases as needed, negotiating settlements with customers or their legal representatives.
  • Ensures compliance with state regulations and requirements.
  • Focuses primarily on proper investigation, evaluation, negotiation and settlement of all claims moderate to serious complexity.

Benefits

  • We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program—including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
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