Workers Comp Claims Specialist

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Manages a large inventory of complex claims to evaluate compensability/liability
  • Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages
  • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority
  • Conveys complex 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 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
  • Performs other duties as assigned
    Requirements:
  • Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
  • Generally, a minimum of 9 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)
  • Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge
  • Excellent analytical, negotiation, and problem-solving skills
  • Strong knowledge of insurance policies, coverage, and claims handling procedures
  • Knowledge of industry laws and regulations
    Benefits:
  • medical, dental, and vision 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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