Sign up menu

Special Investigations Specialist - BiBERK & THREE

National Indemnity Company Omaha, NE


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.

Essential Duties and Responsibilities:

1. Respond to fraud related inquiries and referrals to SIU from Claim Specialists and Examiners and from automated initial screening system; search restricted, subscription-based and public databases, making maximum use of web-based resources; identify and refer to SIU Examiner circumstances potentially requiring retention of investigators and/or referral to regulatory or law enforcement authorities; coordinate with independent adjusters, investigators, law enforcement and regulatory authorities, to provide and obtain information for enhanced investigation of particular Claim Files. 50-70% Daily
2. Review, classify, log and track inquiries and referrals to SIU, applying guidelines to determine whether providing information is sufficient or further SIU action is appropriate. 5-10% Daily
3. Create and maintain a positive and close working relationship between SIU and Claim Examiners and Claim Specialists; assist in preparing materials and present fraud prevention training to Claim Operations and Underwriting units; encourage referrals to SIU of circumstances indicating high potential for fraudulent information or conduct; prepare and distribute information to Claim Operations regarding improved claim resolutions resulting directly from Examiner and Specialist referral and inquiries to SIU. 10-20% Daily
4. Perform data mining of internal systems to detect Insured, Claimant or vendor reporting, payment or other patterns indicating potentially fraudulent information or conduct; support and assist SIU Examiner in identifying potentially fraudulent information or activities revealed by inquires and referrals to SIU and in providing appropriate SIU response to all inquiries and referrals. 5-10% As Needed
5. Research, collect and organize claim data and prepare and complete periodic reports required by insurance regulatory authorities regarding fraud prevention activities of primary, BHHC and selected affiliated companies; maintain a comprehensive, well-organized and logically consistent system for recording all significant SIU actions and retaining all SIU-related materials in the Claim Information System, ImageRight and elsewhere; design and prepare charts, spreadsheets, and other visual aids and materials for presentations to management, counsel, law enforcement and regulatory authorities regarding general and specific SIU activities; review, approve within authority, and pay bills from investigators/vendors retained by SIU. 5-15% As Needed
6. Perform other duties as assigned.

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.

Date Posted June 29, 2022
Date Closes July 29, 2022
Requisition R11342
Located In Omaha, NE
Department Team SIU
SOC Category 00-0000.00

Similar Jobs

01 July ( Today )

Sales Coordinator & Marketing Asst - Nashville (Brentwood), TN

01 July ( Today )

Accountant II - BTNRH

01 July ( Today )

Credentialing Specialist