Senior Claims Representative

W.R. Berkley • High Point, NC

71d

About The Position

The Senior Workers' Compensation Claims Representative is responsible for the analysis and management of workers' compensation claims for assigned clients, including minor and complex claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. Acts in a fiduciary role on behalf of policyholders and negotiates claim settlements. Senior Claims Representative's conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and state statutes. The Senior Claims Representative is expected to function with a degree of competency. The use of sound judgment coupled with strong technical claim handling skills and consistent results are expected.

Requirements

• BA/ BS Degree
• 5+ years of workers compensation claims management experience
• Adjuster license strongly desired or ability to obtain license within six months
• In depth knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific.
• Strong written and verbal communication skills.
• Strong interpersonal, time management and organizational skills.
• Strong negotiation skills.
• Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
• Ability to perform with a sense of urgency.
• Ability to work both independently and within a team environment.

Responsibilities

• Analyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims up to designated authority level and makes claims payments.
• Processes complex or technically difficult claims.
• Calculates and assigns timely an appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
• Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
• Prepares necessary state filings within statutory limits.
• Actively manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
• Frequently communicates with all appropriate parties involved with the claim.
• Maintains professional client relationships.
• Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.
• Ability to assist team members to develop knowledge and understanding of claims practices.

Benefits

• Competitive compensation plan
• Robust benefits package for full time regular employees

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees