Senior Claims Examiner

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

📋 Description

• Conduct investigations on assigned property damage and bodily injury claims.

• Assess claims in accordance with insurance contracts of affiliated companies and relevant laws.

• Provide defense as deemed appropriate.

• Determine necessary information and documentation for claim assessments.

• Assign tasks and oversee independent adjusters.

• Review public records and other relevant documents.

• Communicate with insured parties, claimants, and others via phone and written correspondence.

• Clarify claim processes, associated matters, and potential resolution options.

• Adhere to laws and regulations governing claims handling.

• Engage higher-level defense counsel as instructed and supervise the defense of insured parties when applicable.

• Collaborate with internal legal counsel as necessary.

• Analyze and establish the rights and responsibilities of the Company, insured parties, claimants, and others under relevant insurance contracts.

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

• Analyze, assess, and estimate liability for insured parties and losses for claimants/insureds.

• Identify potential losses that are covered by insurance contracts.

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

• Apply decision theory principles to assess claim settlement scenarios.

• Set and adjust case reserves.

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

• Maintain and review claim diaries regularly.

• Negotiate and resolve claims within designated authority or submit requests for authority and recommendations to management.

• Keep accurate and timely records of communications and claim files.

• Establish and update units that reflect potential loss exposures.

• Provide claim information to managers and others as necessary.

• Obtain and sustain required licenses and certifications.

• Stay informed through professional literature, published opinions, trade periodicals, and conferences.

⛳️ Requirements

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

• Minimum of three years of relevant work experience.

• Proficient in the interpretation and application of insurance contracts.

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

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

• Required licenses and certifications must be obtained and maintained.

• Skills in investigation.

• Proficient in evaluation and analysis.

• Strong negotiation skills.

• Capable of 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.

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

• Capability to maintain strict confidentiality.

• 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, with a maximum of 85 days over 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 development.

• Access to an online wellness portal.

• Complimentary state-of-the-art 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 eligible dependents.

• Dedicated Learning & Development program.

• Full upfront Educational Reimbursement program.

• Subsidized parking in downtown areas.

• Competitive time-off policies, including parental leave.

• Employee Assistance program.