Senior Claim Representative - Workers Compensation (Hybrid)

Intact Specialty Solutions•Plymouth, MN

2d•Hybrid

About The Position

At Intact Insurance Specialty Solutions, we are experts in protecting what makes businesses unique. Our deep understanding of the specialty insurance market forms the foundation for our customized solutions, supported by targeted risk control and claims services. Our employees are passionate about providing insurance coverage aligned with our targeted customer groups. Intact’s Global Specialty Lines business operates across more than 20 verticals in four distinct markets: U.S., Canada, UK, and Europe. This opportunity is for our U.S. team. We are seeking a Senior Claim Representative to join our Workers Compensation team, based in our Plymouth, MN or Alpharetta, GA offices, offering a hybrid work schedule.

Requirements

Bachelor’s degree or equivalent experience required.
Minimum 2-6 years of progressively complex specialty claims experience.
Experience handling Workers Comp Claims in the State of Florida or California.

Responsibilities

Makes timely and appropriate contacts, determines and completes the appropriate level of investigation to make a determination of coverage, assess liability, and determine damages.
Takes a recorded statement from all parties involved in the claim when appropriate for the type of claim being handled.
Determines exposure, establishes adequate reserves, and makes timely adjustments as required.
Assigns and directs the activities of internal and external resources as required, including independent adjusters and appraisers.
Determines whether additional evidence is required, including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
Identifies questionable claims and consults with SIU for further direction as appropriate.
Determines settlement value of the loss and negotiates proper settlement of claims within authority.
Provides recommendations for settlement and disposition of claims exceeding authority level.
Stays abreast of state license requirements and participates in continuing education as required.