Workers Comp Claims Specialist
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.
• May attend arbitrations, mediations, depositions, or trials.
• 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.
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.
• 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 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
• 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.
• May attend arbitrations, mediations, depositions, or trials.
• 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.
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.
• 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 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