Workers Comp Claims Specialist

Role Overview

• 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)
• Prefer Experience handling MO IL IA & WI
• 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

Benefits

• medical, dental, and vision coverage
• wellness plans
• parental leave
• adoption assistance
• tuition reimbursement
• Paid Time Off and paid holidays
• 401(k) plan with company match
• employee stock purchase plan
• commuter benefits