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
Performs other duties as assigned.

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
Excellent analytical, negotiation, and problem-solving skills
Strong knowledge of insurance policies, coverage, and claims handling procedures
Knowledge of industry laws and regulations
Advanced 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
Proven ability to handle confidential information with discretion.

Workers Comp Claims Specialist

Key skills