Senior Claims Examiner

Job not on LinkedIn

🔥 13 hours ago

🌾 Nebraska – Remote

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💵 $85k - $95k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 1%

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Logo of Berkshire Hathaway Homestate Companies - Workers Compensation Division

Berkshire Hathaway Homestate Companies - Workers Compensation Division

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 • Identify information and documents needed to evaluate claims • Assign and direct independent adjusters and review public and other records and documents • Contact Insureds, Claimants and others regarding information, claim processes, resolution alternatives and related matters • Comply with claims handling laws and regulations • Engage defense counsel and monitor defense of Insureds at higher levels, or work with internal legal counsel • Analyze and determine rights and obligations under applicable insurance contracts • Coordinate with the Legal Department on coverage, compliance and legal issues • Analyze, evaluate and estimate liability and losses • Identify and report potential fraud to the Special Investigation Unit • Use decision theory principles to evaluate claim settlement scenarios • Establish and modify appropriate case reserves • Review and approve or disapprove invoices for allocated loss adjustment expenses • Maintain and review claim diaries and claim files • Negotiate and resolve assigned claims within established authority or recommend resolution to management • Prepare and maintain accurate records of communications and required claim documentation • Maintain current knowledge of insurance and claim management principles through professional literature, opinions, periodicals and conferences

🎯 Requirements

• Bachelor's degree in related field or equivalent work experience • Three or more years related work experience • Interpretation and application of insurance contracts • Knowledge of insurance claim procedures, loss evaluation methods and claim resolution alternatives • Insurance related courses such as AIC, CPCU • Excellent verbal and written communication skills • Strong analytical skills • Ability to work independently while collaborating with others • Proficiency in investigations • Ability to analyze data, apply knowledge and logic, make recommendations and draw conclusions • Position is not eligible for employer visa sponsorship • Obtain and maintain all required licenses and certifications

🏖️ Benefits

• Up to 11 days of vacation time • 65 days of sick pay, with an 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 and 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

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