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Senior Claims Examiner
Berkshire Hathaway Homestate Companies - Workers Compensation Division. Investigate assigned property damage and bodily injury claims reported under affiliated Companies' insurance contracts .
About the role
Key responsibilities & impact- 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
What you’ll need- 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
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 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