[Hiring] Senior Claims Examiner @Berkshire Hathaway Homestate Insurance

Role Description

The Claims Examiner will investigate, evaluate, provide defense if appropriate, negotiate and resolve assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with those contracts and applicable law, within documented authority. This position will be for the Claim Department based in Omaha, NE or eligible for remote work. This position is not eligible for employer visa sponsorship.

In accordance with state pay transparency laws and regulations, the following good-faith salary range estimate is being provided. The salary range for this job is $85,000 - $95,000 annually based on the primary posting location of Omaha, Nebraska. Final compensation will be based on candidate qualifications, geographic location and other considerations permitted by law.

Interested applicants are encouraged to apply within four business days of the posting date. The Company will continue to accept applications until the position has been filled. Applicants may apply after four business days of the posting date with the understanding that the position may no longer be available when their application is submitted.

What will you do?

• CLAIM INVESTIGATION: Investigate assigned claims reported under insurance contracts provided by affiliated Companies, including:
  • Identification of information and documents needed to evaluate claims
  • Assignment and direction of independent adjusters
  • Review of public and other records and documents
  • Contact Insureds, Claimants and others regarding necessary information and documents
  • Comply with claims handling laws and regulations
  • Engage defense counsel as directed and monitor defense of Insureds
• COVERAGE ANALYSIS: Identify, evaluate and analyze respective rights and obligations under insurance contracts applicable to assigned claims. Coordinate with Legal Department on coverage and claims handling compliance.
• LOSS ASSESSMENT: Analyze, evaluate, and estimate liability of Insureds and loss of Claimants/Insureds for assigned claims. Identify and report potential fraud to Special Investigation Unit.
• CLAIM RESERVING AND SETTLEMENT: Establish and modify appropriate case reserve, review and approve invoices from independent adjusters, maintain and review diary of assigned claims, negotiate and resolve assigned claims.
• COMMUNICATION AND DOCUMENTATION: Prepare and maintain accurate records of communications, establish and modify appropriate units reflecting potential loss exposures, maintain appropriate Claim File.
• LICENSING: Obtain and maintain all required licenses and certifications; maintain current knowledge of insurance and claim management principles.

Qualifications

• Bachelor's degree in related field or equivalent work experience
• Three or more years related work experience
• Interpretation and application of insurance contracts
• 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

Who would excel in this role?

• Able to work independently while collaborating with others
• Proficient in investigations
• Able to analyze data, apply knowledge and logic, make recommendations and draw conclusions

Benefits

• Eligible employees receive up to 11 days of vacation time
• 65 days (85 day maximum in a two-year period) of sick pay
• Up to 20 days of paid parental time
• Seven paid holidays and two floating holidays
• 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 for personal and professional growth
• 100% upfront Educational Reimbursement program
• Subsidized downtown parking
• Competitive time off policies including parental leave
• Employee Assistance program
• Wellness program integrated into Company culture