Key skills
CommunicationProblem SolvingTime Management
About this role
Role Overview
- Responsible for the resolution of high complexity and high exposure Workers Compensation claims in multiple jurisdictions
- Confirms coverage of claims by reviewing policies and documents submitted in support of claims
- Analyzes coverage and communicates coverage positions
- Conducts, coordinates, and directs investigation into loss facts and extent of damages
- Directs and monitors assignments to experts and outside counsel
- Evaluates information on coverage, compensability, and medical management to determine the extent of insured's exposure
- Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
- Focus on driving claims to a resolution with a focus of returning the injured back to work
- Evaluate, Negotiate and settle claim when appropriate
- Prepares reports by collecting and summarizing information
- Adheres to Fair Claims Practices regulations and internal Claims Quality Performance Objectives
- Participates in special projects or assists other team members as requested
- Attend all state specific trainings as scheduled
- Travel to mediations, trials, and conferences as required
Requirements
- A degree in business related courses optional in exchange for experience in insurance
- An insurance designation is a plus
- Excellent written and oral communication skills
- Strong analytical and problem solving skills
- Strong organization and time management skills
- Ability to deliver outstanding customer service
- Strong knowledge and understanding of medical terminology is a plus
- Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
- Ability to work in a team environment
- Strong desire for continuous improvement
- US Work Authorization required
Benefits
- competitive benefit programs that help meet our diverse and changing environment
- multiple health, dental and vision insurance plan options
- optional life, disability, and AD&D insurance
- 401(k) with employer match contributions
- Employee Stock Purchase Plan
- PTO
- corporate holidays and floating holidays
- parental leave