Senior Workers Comp Claims Representative

Role Overview

• Manages an inventory of claims to evaluate compensability/liability
• Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages
• Determines and negotiates appropriate claim settlements/reserves within prescribed authority
• May attend arbitrations, mediations, depositions, or trials
• Conveys moderately 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
• Performs other duties as assigned.

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
• 5 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)
• Prefer PA NJ MA state handling experience
• Strong analytical, negotiation, and problem-solving skills
• Knowledge of insurance policies, coverage, and claims handling procedures
• Knowledge of industry laws and regulations
• Ability to organize and prioritize caseloads, ensuring timely resolution of claims
• Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations
• 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