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Senior Claims Examiner
Berkshire Hathaway Homestate Companies - Workers Compensation DivisionSenior Claims Examiner I investigating and resolving property damage and bodily injury claims under insurance contracts. Collaborating with insureds, claimants, and legal teams to ensure compliance and accurate settlements.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in investigating and resolving insurance claims, with a strong understanding of insurance contracts and compliance with claims handling laws. Proficient in communication, negotiation, and case management to effectively manage multiple priorities and maintain confidentiality.
Highest-signal resume keywords
Insurance Contract InterpretationClaims Handling ProceduresLoss Evaluation MethodsInvestigation and Analysis SkillsNegotiation and Case Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims InvestigationClaims EvaluationLiability AnalysisCase Reserve ManagementClaims Resolution Alternatives
Soft Skills
Excellent Oral CommunicationExcellent Written CommunicationTime ManagementPrioritizationDetail Orientation
Certifications & Qualifications
AICCPCU
Industry Keywords
Insurance ClaimsClaims Handling LawsConfidentialityHigh PrioritiesRecord Maintenance
About the role
Key responsibilities & impact- Investigate assigned claims reported under insurance contracts provided by affiliated Companies
- Contact insureds, claimants, and others by telephone and correspondence regarding information necessary to evaluate and resolve claims
- Comply with claims handling laws and regulations
- Identify, evaluate, analyze, and determine respective rights and obligations under insurance contracts applicable to assigned claims
- Analyze, evaluate, and estimate liability of Insureds and loss of Claimants
- Establish and timely modify appropriate case reserve reflecting available information regarding assigned claims
- Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties
Requirements
What you’ll need- Bachelor's Degree in related field or equivalent work experience required
- Three or more years related work experience
- Knowledge of interpretation and application of insurance contracts
- Knowledge of insurance claim procedures, loss evaluation methods and claim resolution alternatives
- Knowledge of insurance related courses such as AIC, CPCU
- Skills in investigation, evaluation, and analysis
- Skills in negotiation and case management
- Skills in time management and prioritization
- Excellent oral and written communication, especially with individuals outside the Company
- Ability to organize time and resources and handle multiple high priorities
- Ability to maintain strict confidentiality
- Ability to meet deadlines
- Ability to work with detail with accuracy
- Ability to work well with others
Benefits
Comp & perks- Retirement and savings plan with immediate enrollment with 100% employer match up to 5%
- Medical, dental, and vision for regular, full-time employees and eligible dependents
- Dedicated Learning & Development program for employees to grow personally and professionally
- 100% upfront Educational Reimbursement program
- Subsidized downtown parking
- Competitive time off policies including parental leave
- Employee Assistance program