Provides quality investigation and analysis to adjust claims of medium complexity/severity
Promotes the success of the organization through development of relationships with agencies, policyholders and employees
Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business
Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings
Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines
Establish and maintain proper reserves for each claim to accurately reflect the financial exposure
Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs
Collaborate with counsel to manage litigated claims
Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing

Bachelor’s degree or equivalent combination of education
3 years of experience handling workers’ compensation indemnity claims of medium level of complexity/severity
AIC or SLA certification preferred
Ability to obtain appropriate state licensing as required
Proficient computer skills required including Microsoft Office Suite
Strong analytical skills and attention to detail.
Excellent verbal and written communication skills

Senior Workers' Compensation Claims Adjuster

Key skills