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Claim Specialist or Claim Examiner - Attorneys Welcome To Apply

National Indemnity Company locationOmaha, NE
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49 positions
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49 positions
info linkReport a probelm Originally Posted : November 18, 2021 | Expires : December 18, 2021

Details

Salary
Unspecified
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Job Location
Omaha, NE, United States

Description

Company:

NICO National Indemnity Company


As a member of the Berkshire Hathaway group of insurance companies, we offer outstanding opportunities for professionals interested in working with a successful company. We offer unparalleled financial strength, stability and "large company" benefits, in addition to an exciting, friendly, "small company" atmosphere.

Claim Specialist

Job Objective:

Investigate, evaluate, provide defense if appropriate, negotiate and resolve assigned property damage and selected bodily injury claims reported under affiliated Companies' insurance contracts, in accordance with those contracts and applicable law, within documented authority.

Major Duties:

- 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 and review of public and other records and documents. Contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. May engage defense counsel as directed and monitor defense of Insureds in consultation with Unit Manager as necessary.

- Identify, evaluate and, in consultation with Unit Manager as necessary, analyze and determine respective rights and obligations of Company, Insured, Claimants and others under insurance contracts applicable to assigned claims.

- Analyze, evaluate and estimate liability of Insureds and loss of Claimants for assigned claims and identify all potential losses to which Companies' contracts of insurance apply. Identify and report potential fraud to Special Investigation Unit.

- Establish and timely modify appropriate case reserve reflecting available information regarding assigned claims. Review and approve or disapprove invoices from independent adjusters and others for allocated loss adjustment expenses. Maintain and timely review diary of assigned claims. Negotiate and resolve assigned claims within established authority, or submit authority request and recommend resolution to Unit Manager.

- Prepare and maintain accurate and timely record of communications with Insureds, Claimants and other third-parties; review, establish and modify appropriate units reflecting potential loss exposures; maintain appropriate Claim File including all required electronic and other records and provide information regarding assigned claims to Unit Manager and others as required.

- Obtain and maintain all required licenses and certifications; maintain current knowledge of insurance and claim management principles and practices through review of published opinions, trade periodicals and other professional literature and conferences.

- Perform related duties as assigned.

Knowledge, Skills, and Abilities: (*minimum qualifications needed to perform essential job functions)

Required Knowledge:

Bachelor degree or equivalent

Interpretation and application of insurance contracts, insurance claim procedures, loss evaluation methods and claim resolution alternatives

2 to 3 years related work experience

Claim Examiner

Job Objective:

Evaluate, manage and resolve claims reported under Company insurance policies within established authority and as required by applicable law.

Major Duties:

- Investigate, evaluate and settle or manage the defense of claims, including selection and oversight of independent adjusters and counsel and control of loss adjustment expenses, within established authority.

- Identify, evaluate and determine, in consultation with Company counsel as necessary, respective rights and obligations of Company, Insured and third parties under all applicable insurance policies.

- Establish and modify loss and expense reserves as information regarding claim develops.

- Prepare accurate and timely case summaries, evaluations and reports; prepare, maintain and periodically review appropriate Claim Files and journals and all required electronic and other records, and provide information regarding claims as required.

- Maintain current knowledge of insurance and claim management principles and practices through review of published opinions, trade periodicals and other professional literature and presentations.

- Travel to represent Company in settlement conferences and other proceedings.

- Perform other related duties as assigned or as situation dictates.

Knowledge, Skills, and Abilities: (*minimum qualifications needed to perform essential job functions)

Required Knowledge:

  • Bachelor degree in business or related field or equivalent
  • Interpretation and application of insurance contracts
  • Insurance claim procedures, loss evaluation methods and claim resolution alternatives
  • 2 to 3 years related work experience

Preferred Knowledge:

  • Law Degree

A comprehensive benefits package is available for regular, full-time employees, including health, vision, dental, life and disability insurance as well as a 401(k) with company match. We also proudly offer 100% upfront tuition reimbursement to regular, full-time employees, to further your education. Our Omaha office boasts a complimentary state-of-the-art, on-site gym, a robust wellness program, low-cost downtown parking, and numerous volunteer and networking opportunities with other emerging professionals.


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