Manage workers’ compensation claims for insureds with loss-sensitive insurance programs
Conduct thorough investigations, evaluate claims, and ensure effective resolution while delivering exceptional customer service
Build robust relationships demonstrating strong analytical, negotiation, and communication skills
Collaborate with legal counsel to manage litigated claims
Develop and execute proactive claim resolution strategies
Establish and maintain accurate claim reserves, ensuring clear communication with the insured
Identify and engage external resources as needed
Partner with insureds, medical providers, and injured workers for safe timely return to work
Collaborate with agents, policyholders, and internal stakeholders to analyze claims trends
Prepare and deliver detailed claim summaries and analyses
Mentor and train other claims handlers.

Bachelor’s degree or equivalent combination of education and experience
5 years of experience handling workers’ compensation claims of medium to high level of severity/complexity
Ability to obtain appropriate state licensing as required
Proficient computer skills required including Microsoft Office Suite
Strong analytical skills and attention to detail.
Excellent verbal and written communication skills with the ability to interact with internal and external customers.
Ability to travel overnight up to 15%.

Specialist, WC Claims Resolution – Special Risk Policyholders

Key skills