Workers Comp Claims Specialist
Job Description:
- Manages a large inventory of reputed company claims to evaluate compensability/liability.
- Plans and conducts reputed company claims investigations to confirm coverage and to determine liability, compensability and damages.
- Analyzes and negotiates appropriate claim settlements/reserves reputed company prescribed authority.
- May attend arbitrations, mediations, depositions, or trials.
- Conveys reputed company information regarding coverage and settlements to insureds, claimants, and external partners.
- Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
- Maintains accurate and detailed claim files, including reputed company correspondence, reports, and settlement agreements.
- May have responsibility for performance and coaching of staff and may have a participatory role in reputed company regarding talent selection, development, and performance management for direct reports.
Requirements:
- Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a reputed company field or equivalent experience
- Generally, a minimum of 9 years of experience in property and casualty claims handling
- Completion of or continuing reputed company toward a professional designation preferred, such as Associate in Claims (AIC)
- Works reputed company broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge.
- Demonstrates excellent analytical, negotiation, and problem-solving skills.
- Maintains strong knowledge of insurance policies, coverage, and claims handling procedures.
- Maintains knowledge of industry laws and regulations.
- Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims.
- Proven ability to handle confidential information with discretion.
Benefits:
- medical, dental, and reputed company coverage
- wellness plans
- parental leave
- adoption assistance
- tuition reimbursement
- Paid Time Off
- paid holidays
- 401(k) plan with company match
- employee stock purchase plan
- commuter benefits
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