Senior Claims Examiner

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🔥 0 minutes ago

🌾 Nebraska – Remote

🌾 Nebraska – Remote

💵 $85k - $95k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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Berkshire Hathaway Homestate Companies - Workers Compensation Division

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 50+ years

🛡️ Insurance

💸 Finance

🤝 B2B

Insurance • Finance • B2B

Berkshire Hathaway Homestate Companies - Workers Compensation Division is a comprehensive insurance provider specializing in workers compensation, commercial auto, and commercial property insurance. As part of the Berkshire Hathaway Insurance Group, BHHC offers strong financial backing and superior service quality. For over 50 years, the company has served agents, brokers, businesses, and injured workers nationwide, ensuring safety from unexpected events and promoting preventative measures. BHHC prides itself on a culture of integrity and exceptional customer service, reflected in its consistent top ratings and national coverage.

📋 Description

• Investigate assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts • Evaluate claims and identify information and documents needed for resolution • Assign and direct independent adjusters and review public and other records and documents • Contact insureds, claimants, and others by telephone and correspondence regarding claim information, processes, resolution alternatives, and related matters • Comply with claims handling laws and regulations • Engage defense counsel when directed and monitor defense of insureds, or work with internal legal counsel as appropriate • Analyze insurance contract coverage and determine the rights and obligations of the Company, insureds, claimants, and others • Coordinate with the Legal Department on coverage, claims handling compliance, and other legal issues • Analyze, evaluate, and estimate insured liability and claimant/insured losses • Identify and report potential fraud to the Special Investigation Unit • Use decision theory principles to evaluate claim settlement scenarios • Establish and modify case reserves • Review and approve or disapprove invoices for allocated loss adjustment expenses • Maintain and review claim diaries and claim files • Negotiate and resolve claims within established authority or recommend resolutions to management • Document communications and maintain accurate electronic and other claim records • Provide assigned-claim information to managers and others as required • Maintain current knowledge of insurance and claim management principles through professional literature, published opinions, trade periodicals, and conferences

🎯 Requirements

• Bachelor's Degree in related field or equivalent work experience required • Three or more years related work experience • Obtain and maintain all required licenses and certifications • Knowledge of interpretation and application of insurance contracts • Knowledge of insurance claim procedures, loss evaluation methods and claim resolution alternatives • Insurance-related courses such as AIC or CPCU • Investigation • Evaluation and analysis • Negotiation • Case management • Time management and prioritization • Excellent oral and written communication, especially with individuals outside the Company • Ability to organize time and resources and handle multiple high priorities • Ability to research and evaluate alternatives, reach decisions, and make recommendations • Maintain strict confidentiality • Meet deadlines • Work with detail and accuracy • Work well with others • Not eligible for employer visa sponsorship

🏖️ Benefits

• Up to 11 days of vacation time • 65 days of sick pay (85 day maximum in a two-year period) • Up to 20 days of paid parental time • Seven paid holidays and two floating holidays • Employee Resource Groups for volunteering, connecting with others, social gatherings, and professional development • Online wellness portal • Complimentary state-of-the-art onsite fitness center at the Omaha office • Robust wellness program • Retirement and savings plan with immediate enrollment • 100% employer match up to 5% • Medical, Dental and Vision 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