Key skills
Negotiation
About this role
Role Overview
- Manages complex claims inventories requiring advanced technical expertise and strategic claim handling
- Effectively communicates with policyholders, agents, attorneys, and witnesses to gather information and provide highest possible level of customer service
- Promptly investigates claims to determine exposure, works with appropriate experts and makes strategic recommendations
- Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding results
- Operates within the requirements of related state and/or the governing entity rules and regulations as well as internal claims handling policies and procedures
- Ensures accuracy of data in claims system for compliance with applicable regulatory reporting
- Provides knowledge transfer across the organization
- Continuously seeks to improve technical skills by attending job related training and tracking current case law
Requirements
- Bachelor's degree (or equivalent combination of education and experience)
- Minimum of 8 – 10+ years’ related claims handling experience involving complex litigation, reserving, settlement strategy, and high exposure claims.
- Certification that meets the minimum standards of training, experience, and skill required. WCCA and WCCP preferred.
- State Workers Compensation License (required in some branches).
- Paralegal certificate from an accredited program preferred.
- Excellent understanding of laws and jurisdictional restraints to manage claims.
- Must be adept at learning new technology.
- Flexibility to adapt to changes in a fast-paced environment.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Paid holidays throughout the calendar year
- Bonus potential for all positions
- Support for continued learning