Senior Claims Examiner

Berkshire Hathaway Homestate Companies - Workers Compensation Division

. Investigate assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts .

Posted 10/28/2026full-timeRemote • Nebraska • United StatesSenior💰 $85,000 - $95,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evaluating and resolving insurance claims, including negotiation and case management, while maintaining compliance with relevant laws and regulations. Proficient in analyzing insurance contracts and applying decision theory principles to assess liability and potential fraud.

Highest-signal resume keywords

Insurance Claim ProceduresNegotiationEvaluation And AnalysisCase ManagementLicenses And Certifications

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

InvestigationLoss Evaluation MethodsClaim Resolution AlternativesDecision Theory PrinciplesClaims Handling Laws And Regulations

Soft Skills

Excellent Oral And Written CommunicationTime Management And PrioritizationOrganizational SkillsConfidentialityCollaboration

Certifications & Qualifications

AICCPCU

Industry Keywords

Insurance ContractsClaims HandlingFraud InvestigationLegal ComplianceClaim Files Management

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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