Senior Claims Examiner

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

📋 Description

• Conduct investigations into property damage and bodily injury claims reported under the insurance contracts of affiliated companies.

• Determine the information and documentation required to assess claims accurately.

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

• Communicate with insured individuals, claimants, and others through telephone and written correspondence concerning claims information, processes, resolution options, and related topics.

• Adhere to claims handling laws and regulations.

• Engage defense counsel when necessary and oversee the defense of insured parties at elevated levels.

• Analyze and establish the rights and obligations of the Company, insured parties, claimants, and others in accordance with relevant insurance contracts.

• Collaborate with the Legal Department on coverage, compliance with claims handling, and other legal matters.

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

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

• Apply decision theory principles to assess claim settlement scenarios.

• Set and adjust appropriate case reserves.

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

• Maintain and review claim diaries and files.

• Negotiate and resolve assigned claims within the established authority or submit requests for authority and recommendations to management.

• Prepare and keep accurate records of communications and all required electronic and other documentation.

• Report potential loss exposures and assigned claim information to managers and others as necessary.

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

⛳️ Requirements

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

• A minimum of three years of relevant work experience.

• Understanding of the interpretation and application of insurance contracts.

• Familiarity with insurance claim procedures, loss evaluation methods, and claim resolution alternatives.

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

• Skills in investigation.

• Proficiency in evaluation and analysis.

• Strong negotiation abilities.

• Experience in case management.

• Excellent time management and prioritization skills.

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

• Capability to organize time and resources effectively and manage multiple high priorities.

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

• Commitment to maintaining strict confidentiality.

• Ability to meet deadlines consistently.

• Attention to detail and accuracy in work.

• Ability to collaborate well with others.

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

• This position does not qualify for employer-sponsored visa sponsorship.

🏝️ Benefits

• Up to 11 days of vacation time.

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

• 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 development.

• Access to an online wellness portal.

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

• Comprehensive wellness program.

• 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.

• Dedicated Learning & Development program.

• 100% upfront Educational Reimbursement program.

• Subsidized parking in downtown.

• Competitive time-off policies, including parental leave.

• Employee Assistance program.