Senior Claims Examiner

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

📋 Description

• Conduct investigations on claims assigned under insurance policies provided by affiliated companies.

• Communicate with insured individuals, claimants, and other relevant parties via phone and written correspondence to gather necessary information for claim evaluation and resolution.

• Adhere to laws and regulations governing claims handling.

• Identify, assess, analyze, and establish the respective rights and obligations under the applicable insurance contracts for the claims assigned.

• Evaluate and estimate the liability of insured parties and the losses of claimants.

• Set up and promptly adjust appropriate case reserves based on the information available regarding the assigned claims.

• Accurately document and maintain timely records of communications with insured parties, claimants, and other third parties.

⛳️ Requirements

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

• A minimum of three years of relevant work experience.

• Proficient understanding of the interpretation and application of insurance contracts.

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

• Knowledge of insurance-related courses such as AIC and CPCU is preferred.

• Strong skills in investigation, evaluation, and analysis.

• Proficient in negotiation and case management.

• Effective time management and prioritization skills.

• Exceptional oral and written communication abilities, particularly with individuals outside the organization.

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

• Commitment to maintaining strict confidentiality.

• Ability to meet project deadlines consistently.

• Attention to detail and accuracy in work.

• Ability to collaborate effectively with others.

🏝️ Benefits

• A retirement and savings plan with immediate enrollment and a 100% employer match up to 5%.

• Medical, dental, and vision coverage for regular, full-time employees and their eligible dependents.

• A dedicated Learning & Development program to support personal and professional growth for employees.

• A fully funded Educational Reimbursement program available upfront.

• Subsidized parking in the downtown area.

• Competitive time-off policies, including parental leave.

• Access to an Employee Assistance program.