Senior Claims Specialist - Workers Compensation

EPIC Brokers•Carmel, IN

5d•Hybrid

About The Position

The Senior Claims Specialist manages the full lifecycle of Workers’ Compensation claims, delivering thorough investigation and analysis while developing trusted relationships with clients and stakeholders to drive efficient, high-quality claim outcomes. JWF Specialty is a division of EPIC and is a best-in-class Third Party Administrator (TPA) and the TPA of choice for EPIC. They're a successful and rapidly growing division with a strong reputation for innovation and customer satisfaction.

Requirements

Proficiency in Microsoft Office (Excel, Word) and systems navigation
Ability to travel as needed for client meetings and team collaboration
Self-motivated and adaptable, with strong independent work habits
Effective interviewing, analytical, and problem-solving skills
Strong communication, time management, and organizational abilities
Ability to manage conflict and navigate challenging claim situations

Responsibilities

Manages the full lifecycle of Workers’ Compensation claims.
Conducts complete investigation of losses through any appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence.
Evaluates liability and damages; identifies subrogation/salvage opportunities or suspicious claims.
Prepares timely, concise reports as required.
Promptly establishes and maintains accurate reserves.
Verifies, analyzes and correctly applies coverage.
Develops strategy and negotiates claims to a timely conclusion, properly applying company and department policies and procedures.
Decides on conclusion of loss (e.g. pay, deny compromise) based upon analysis of the facts, liability, and statutory/case law.
Determines need for and provides direction to defense counsel, independent adjusters or other technical experts, and monitors and controls their costs.
Attends hearings, pre-trial settlement, conferences, trials, etc., as required.
Keeps agents, insurers, Agency OPS and Corporate Claims advised of file status and other matters as required.
Frequently involved in meetings or visits to agents, insurers, prospects, clients etc. and in Large Account matters.

Benefits

Generous Paid Time off
Managed PTO for salaried/exempt employees (personal time off without accruals or caps)
22 PTO days starting out for hourly/non-exempt employees
12 company-observed paid holidays
4 early-close days
Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
Generous employee referral bonus program of $1,500 per hired referral
Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
Mentorship Program
Tuition Reimbursement Program
Leadership Development
Pet Insurance
Identity Theft & Fraud Protection Coverage
Legal Planning
Family Planning
Menopause & Midlife Support
401(k) matching
medical insurance
dental insurance
vision insurance
wellness & employee assistance programs