Senior Claims Examiner

Job not on LinkedIn

🔥 5 minutes ago

🌾 Nebraska – Remote

🌾 Nebraska – Remote

💵 $85k - $95k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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, defend when appropriate, negotiate, and resolve assigned claims within documented authority • Identify information and documents needed to evaluate claims • Assign and direct independent adjusters • Review public and other records and documents • Contact Insureds, Claimants, and others regarding claim information, processes, resolution alternatives, and related matters • Comply with claims handling laws and regulations • Engage defense counsel at higher levels and monitor defense of Insureds when directed • 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 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 appropriate case reserves • Review and approve or disapprove invoices for allocated loss adjustment expenses • Maintain and timely review diaries of assigned claims • Negotiate and resolve claims within established authority or submit authority requests and recommendations to management • Maintain accurate records of communications and appropriate claim files • Establish and modify units reflecting potential loss exposures • Provide assigned-claim information to managers and others as required • Obtain and maintain required licenses and certifications • Maintain current knowledge through professional literature, published opinions, trade periodicals, conferences, and related resources

🎯 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 • Organize time and resources and handle multiple high priorities • Research and evaluate alternatives, reach decisions, and make recommendations • Maintain strict confidentiality • Meet deadlines • Work with detail with accuracy • Work well with others • Position is not eligible for employer visa sponsorship

🏖️ 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 • 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