Senior Claims Examiner

This is a fully remote position, open to applicants in Nebraska.

📋 Description

• Investigate property damage and bodily injury claims assigned under the insurance contracts of affiliated Companies.

• Assess claims and determine what information and documentation is required for resolution.

• Assign tasks to independent adjusters and review public records and other relevant documents.

• Communicate with insured individuals, claimants, and others via phone and written correspondence regarding claim details, processes, resolution options, and other related topics.

• Adhere to claims handling laws and regulations.

• Engage defense counsel when necessary and oversee the defense of insured parties, or collaborate with internal legal counsel as appropriate.

• Analyze insurance contract coverage to ascertain the rights and obligations of the Company, insureds, claimants, and other parties.

• Work in conjunction with the Legal Department on coverage issues, compliance with claims handling, and other legal matters.

• Assess, evaluate, and estimate the liability of the insured and the losses of claimants/insured parties.

• Identify and report potential fraud to the Special Investigation Unit.

• Apply decision theory principles to assess claim settlement scenarios.

• Establish and adjust case reserves as necessary.

• Review and either approve or deny invoices for allocated loss adjustment expenses.

• Maintain and review claim diaries and files.

• Negotiate and settle claims within established authority or propose resolutions to management.

• Document all communications and keep accurate electronic and other claim records.

• Provide claim information to managers and other stakeholders as needed.

• Stay updated on insurance and claims management principles through professional literature, published opinions, trade journals, and conferences.

⛳️ Requirements

• Bachelor’s Degree in a related field or equivalent work experience is required.

• Minimum of three years of relevant work experience.

• Ability to obtain and maintain all necessary licenses and certifications.

• Knowledge of the interpretation and application of insurance contracts.

• Familiarity with insurance claim processes, loss evaluation techniques, and claim resolution options.

• Completion of insurance-related courses such as AIC or CPCU.

• Skills in investigation.

• Proficient in evaluation and analysis.

• Strong negotiation abilities.

• Effective case management skills.

• Excellent time management and prioritization skills.

• Exceptional oral and written communication skills, particularly when interacting with individuals outside the Company.

• Capability to organize time and resources effectively and manage multiple high-priority tasks.

• Ability to research, evaluate alternatives, make decisions, and provide recommendations.

• Maintain strict confidentiality at all times.

• Ability to meet deadlines consistently.

• Attention to detail and accuracy in work.

• Ability to collaborate well with others.

• Not eligible for employer visa sponsorship.

🏝️ Benefits

• Up to 11 days of vacation time.

• 65 days of sick pay (maximum of 85 days in a two-year period).

• Up to 20 days of paid parental leave.

• Seven paid holidays and two floating holidays.

• Employee Resource Groups for volunteering, networking, social events, and professional growth.

• Access to an online wellness portal.

• Complimentary access to a state-of-the-art onsite fitness center at the Omaha office.

• Comprehensive wellness program.

• Retirement and savings plan with immediate enrollment.

• 100% employer match on contributions up to 5%.

• Medical, Dental, and Vision coverage for regular full-time employees and eligible dependents.

• Dedicated Learning & Development program.

• 100% upfront Educational Reimbursement program.

• Subsidized downtown parking.

• Competitive time-off policies including parental leave.

• Employee Assistance program.