Senior Claims Examiner I

National Indemnity Company•Omaha, NE

13d•$85,000 - $95,000

About The Position

Investigate, evaluate, provide a defense if appropriate, negotiate, and resolve assigned property damage and bodily injury claims reported under affiliated companies’ insurance contracts, in accordance with those contracts and applicable law, within documented authority. The position is part of the Claim Department and is based in Omaha, Nebraska, or may be performed remotely. Employer visa sponsorship is not available. The role includes investigating claims, analyzing coverage and losses, setting reserves, negotiating settlements, maintaining claim files and communications, and obtaining and maintaining required licenses and certifications. The company is part of the Berkshire Hathaway group of insurance companies and describes its culture as combining large-company benefits with a friendly, small-company atmosphere.

Requirements

Bachelor’s degree in a related field or equivalent work experience.
Three or more years of related work experience.
Skills in investigation, evaluation and analysis, negotiation, and case management.
Time management and prioritization skills, including organizing time and resources and handling multiple high priorities.
Excellent oral and written communication, especially with people outside the company.
Ability to research and evaluate alternatives, reach decisions, and make recommendations.
Ability to maintain strict confidentiality, meet deadlines, work accurately with detail, and work well with others.

Nice To Haves

Knowledge of insurance contract interpretation and application.
Knowledge of insurance claim procedures, loss evaluation methods, and claim resolution alternatives.
Insurance-related coursework or designations such as AIC or CPCU.

Responsibilities

Investigate assigned claims, identify information and documents needed to evaluate them, direct independent adjusters, and review public and other records.
Communicate with insureds, claimants, and others about claim information, documentation, processes, and resolution alternatives; comply with claims-handling laws and regulations.
At higher levels, engage defense counsel as directed and monitor the defense of insureds in consultation with management, or work directly with internal legal counsel.
Analyze insurance contracts to determine the rights and obligations of the company, insureds, claimants, and others; coordinate with the Legal Department on coverage, compliance, and other legal issues.
Evaluate insured liability and claimant or insured losses, identify potential losses covered by company contracts, and report potential fraud to the Special Investigation Unit.
Use decision theory principles to assess claim settlement scenarios.
Establish and timely modify case reserves; review and approve or disapprove invoices for allocated loss adjustment expenses; maintain and review claim diaries.
Negotiate and resolve claims within established authority, or request authority and recommend resolution to a manager.
Prepare and maintain accurate, timely communication records and claim files, establish and modify units reflecting potential loss exposures, and provide claim information to managers and others as required.
Obtain and maintain required licenses and certifications and keep current on insurance and claim management principles and practices through professional literature and conferences.

Benefits

Up to 11 days of vacation time.
65 days of sick pay, with an 85-day maximum in a two-year period.
Up to 20 days of paid parental time.
Seven paid holidays and two floating holidays.
Retirement and savings plan with immediate enrollment and 100% employer match up to 5%.
Medical, dental, and vision coverage for regular, full-time employees and eligible dependents.
Learning and Development program.
100% upfront educational reimbursement.
Subsidized downtown parking.
Employee Assistance program.
Employee Resource Groups for volunteering, connection, social gatherings, and professional development.
Wellness program and online wellness portal; complimentary onsite fitness center at the Omaha office.