Investigates and maintains Long Term Care claims
Reviews coverages, determines liability and compensability, secures information, and negotiates and settles claims
Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts
Utilizes negotiation skills to develop complex settlement packages
Partners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims

Bachelor's degree or equivalent experience
Typically a minimum three to five years claims experience
Solid knowledge of claims and insurance industry theory and practices
Demonstrated technical expertise and product specific knowledge
Strong analytical and problem solving skills enabling viable alternative solutions
Solid knowledge of Microsoft Office Suite as well as other business-related software

Workers Compensation Claims Specialist

Key skills