Senior Workers Comp Claims Specialist

Role Overview

• Manages a large inventory of highly complex claims to evaluate compensability/liability
• Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority
• Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners
• Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements
• May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
• Generally, a minimum of 13 years of experience in property and casualty claims handling
• Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
• Excellent analytical, negotiation, and problem-solving skills
• Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures
• Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims
• Proven ability to handle confidential information with discretion

Benefits

• medical, dental, and vision coverage
• wellness plans
• parental leave
• adoption assistance
• tuition reimbursement
• Paid Time Off and paid holidays
• 401(k) plan with company match
• employee stock purchase plan
• commuter benefits