Specialist, WC Claims Resolution – Special Risk Policyholders

Role Overview

• Manage workers’ compensation claims for insureds with loss-sensitive insurance programs
• Conduct thorough investigations, evaluate claims, and ensure effective resolution
• Demonstrate 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
• Identify and engage external resources as needed
• Partner with insureds, medical providers, and injured workers for return to work
• Collaborate with agents, policyholders, and internal stakeholders to analyze claims trends
• Prepare and deliver detailed claim summaries, reserve updates, and analyses
• Mentor and train other claims handlers

Requirements

• 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
• Demonstrated ability to build positive relationships and partnerships within department, across the organization and with external customers

Benefits

• Competitive base pay
• Performance-based incentive pay
• Comprehensive health and welfare benefits
• 401(k) savings plan with profit sharing
• Generous paid time off programs
• Flexible work arrangements to promote work-life balance