Senior Claims Examiner I

About the Company

NICO National Indemnity Company, a member of the Berkshire Hathaway group of Insurance Companies, offers unparalleled financial strength and stability with "large company" benefits in an exciting, friendly, and "small company" atmosphere.

About the Role

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.

Responsibilities

• Claim Investigation: Investigate assigned claims, including identifying necessary information and documents, directing independent adjusters, and reviewing public and other records. Contact insureds, claimants, and others regarding claim evaluation, processes, and resolution alternatives. Comply with claims handling laws and regulations. At higher levels, engage defense counsel and monitor defense of insureds or work directly with internal legal counsel.
• Coverage Analysis: Identify, evaluate, and analyze rights and obligations under insurance contracts applicable to assigned claims. Comply with jurisdictional laws and coordinate with the Legal Department on coverage and compliance issues.
• Loss Assessment: Analyze and estimate liability and loss for assigned claims. Identify potential fraud and report it to the Special Investigation Unit. Use decision theory principles to evaluate claim settlement scenarios.
• Claim Reserving and Settlement: Establish and modify case reserves reflecting available claim information. Review and approve invoices for allocated loss adjustment expenses. Maintain and review claim diaries. Negotiate and resolve claims within established authority or recommend resolutions to management.
• Communication and Documentation: Maintain accurate records of communications with insureds, claimants, and third parties. Update claim files with required electronic and other records. Provide claim information to management and others as needed.
• Licensing: Obtain and maintain all required licenses and certifications. Stay current with insurance and claim management principles through professional literature and conferences.

Requirements

• Bachelor's Degree in a related field or equivalent work experience.
• Three or more years of related work experience.

Preferred Knowledge

• Interpretation and application of insurance contracts.
• Insurance claim procedures, loss evaluation methods, and claim resolution alternatives.
• Insurance-related courses such as AIC, CPCU.

Skills and Abilities

• Investigation, evaluation, and analysis.
• Negotiation and case management.
• Time management and prioritization.
• Excellent oral and written communication, especially with external individuals.
• Ability to organize time, resources, and handle multiple priorities.
• Research, evaluate alternatives, and make recommendations.
• Maintain strict confidentiality.
• Meet deadlines and work accurately with detail.
• Collaborate effectively with others.

Benefits

• Employee Resource Groups for volunteering, social gatherings, and professional development.
• Regular employee input through companywide surveys.
• Wellness program integrated into company culture, including an online wellness portal and a complimentary onsite fitness center (Omaha office).
• Retirement and savings plan with immediate enrollment and 100% employer match up to 5%.
• Medical, Dental, and Vision coverage 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.