Senior Claims Examiner

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

📋 Description

• Conduct investigations into property damage and bodily injury claims associated with the affiliated Companies' insurance policies.

• Assess, defend when necessary, negotiate, and resolve claims within the limits of documented authority.

• Determine the information and documentation required for claim evaluations.

• Delegate tasks to and oversee independent adjusters.

• Examine public records and other relevant documents.

• Communicate with Insureds, Claimants, and others regarding claims information, processes, alternative resolutions, and other related issues.

• Adhere to laws and regulations governing claims handling.

• Collaborate with defense counsel at higher levels and supervise the defense of Insureds as directed.

• Assess and clarify rights and obligations under relevant insurance contracts.

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

• Analyze and estimate insured liability and losses for both claimants and insured parties.

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

• Apply decision theory principles to evaluate various claim settlement scenarios.

• Set and adjust appropriate case reserves.

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

• Maintain and regularly review diaries for assigned claims in a timely manner.

• Negotiate and settle claims within established authority or escalate authority requests and recommendations to management.

• Keep precise records of communications and maintain appropriate claim files.

• Develop and adjust units that reflect potential loss exposures.

• Provide information on assigned claims to managers and others as needed.

• Acquire and uphold all necessary licenses and certifications.

• Stay informed through professional literature, published opinions, trade journals, conferences, and other relevant resources.

⛳️ Requirements

• Bachelor's Degree in a related field or equivalent professional experience is required.

• At least three years of relevant work experience.

• Must obtain and retain all required licenses and certifications.

• Proficient in interpreting and applying insurance contracts.

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

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

• Strong skills in investigation, evaluation, and analysis.

• Proficient in negotiation and case management.

• Excellent time management and prioritization abilities.

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

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

• Capable of researching and evaluating alternatives, making decisions, and providing recommendations.

• Must maintain strict confidentiality.

• Ability to meet deadlines consistently.

• Detail-oriented with a focus on accuracy.

• Ability to work effectively in a team environment.

• This position is not eligible for employer visa sponsorship.

🏝️ Benefits

• Up to 11 days of vacation time.

• 65 days of sick leave, with a 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 up to 5%.

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

• Dedicated Learning & Development program.

• 100% upfront Educational Reimbursement program.

• Subsidized parking in the downtown area.

• Competitive time-off policies, including parental leave.

• Employee Assistance program.