Claims Adjuster or Senior Claims Adjuster

Chesapeake Employers' Insurance Company•Towson, MD

2d•$64,605 - $104,670•Hybrid

About The Position

Chesapeake Employers’ Insurance Company is a purpose-driven organization dedicated to improving the lives and livelihoods of our policyholders, injured workers, team members, and the community. As a leading workers' compensation specialty insurer in the mid-Atlantic region, we take pride in being a force for good. Our 350 team members are committed to making a positive impact every day in the lives of all our stakeholders. Join our motivated, professional team as we foster a culture of values, teamwork, innovation, and collaboration. Established in 1914, Chesapeake Employers Insurance, headquartered in Towson, Maryland, has over a century of experience, a strong financial foundation, and an "A" rating from AM Best.

Requirements

Bachelor’s degree and 2–4 years of industry-related experience or 5–8 years equivalent work experience including 3 years of workers’ compensation claims adjusting (Claims Adjuster).
Attainment of AIC certification or comparable certification in insurance (Claims Adjuster).
Knowledge of claims basics including administrative procedures and processes, law, reserving, investigation, calculation of benefits, case management, fraud, subrogation, etc.
Must be a detail-oriented, flexible self-starter, with excellent written and verbal communication skills, capable of handling multiple tasks in a challenging environment.
Bilingual skills strongly preferred (Claims Adjuster).
Bachelor’s degree and 4-7 years of claims adjusting experience or 10 years equivalent work experience including 5 years of workers’ compensation claims adjusting and AIC designation or comparable designation (Senior Claims Adjuster).
Basic keyboarding and math skills.
Bilingual skills preferred (Senior Claims Adjuster).

Responsibilities

Independently investigates assigned claims, following sound claims handling techniques in accordance with company claim philosophy and quality assurance standards, and in accordance with the Maryland Compensation Law.
With limited assistance from unit supervisor, review all relevant data, evaluates claims, determine coverage & compensability, set reserves and negotiates settlement within settlement authority.
Documents files with necessary reports, investigative notes, and other data as may be required by Maryland Workers’ Compensation Law, the company and the unit supervisor. Advise supervisor on status of problematic claims.
Prepares files for hearing, develops defense of issues, identifies witnesses and makes decisions regarding appeals.
Attends hearings, mediations, settlement conferences, pre-trial hearings and fraud trials.
Provide superior customer service to all internal and external stakeholders and the claims public. Complies with standards for service and prompt contact. Keeps agents and policyholders informed of claim status as appropriate. Anticipates and promptly responds to all issues and concerns.
Manages personal caseload effectively in accordance with claims standards and guidelines and demonstrates the ability to learn, develop and manage complex cases.
Demonstrates effective understanding of workers’ compensation claim handling to include evaluation and calculation of average weekly wage, disability ratings, reserves.
Demonstrates an understanding of the impact of Medicare on workers’ compensation claims to include Medicare Set-Asides and Conditional Payments.
Performs other duties as assigned.
Pursuit of continued education and professional development of industry knowledge.
Contributes to the achievement of established department goals and objectives; adheres to departmental policies, procedures, quality and safety standards, and consistently exhibits Chesapeake’s Values and Behaviors.
Manage more complex claims and mentor others (Senior Claims Adjuster specific).
Assists in the training, mentoring and development of less experienced staff and, upon request, assumes supervisory duties in supervisor’s absence (Senior Claims Adjuster specific).
Accompanies less experienced personnel as requested (Senior Claims Adjuster specific).
Analyzes and exhibits a higher level of understanding of claims financial exposure directly impacting the business (Senior Claims Adjuster specific).

Benefits

health coverage
vision coverage
dental coverage
a robust PTO plan
an 8% employer contribution to retirement regardless of team member contribution
educational assistance
opportunities to participate in team member appreciation events
STD
LTD
group life insurance 1X a team members salary
free tickets to community attractions
flexibility to thrive in a hybrid work environment
opportunity to participate in development and volunteer programs