Senior Claims Specialist - Workers' Compensation

Kinetic•Remote ,

8d•$100,000 - $110,000•Remote

About The Position

Kinetic is seeking a Senior Claims Specialist to join our dynamic Insurance Operations team. In this role, you’ll leverage your extensive expertise in Workers’ Compensation claims to deliver exceptional customer service while managing claims for our policyholders. You’ll play a key role in driving positive outcomes by identifying high-risk exposures, facilitating return-to-work opportunities, and collaborating with internal teams to reduce policyholders’ total cost of risk. As a senior team member, you’ll also provide strategic insights, deliver client onboarding sessions, and support data-driven decision-making to improve injury recovery times and optimize claims processes. This is an exciting opportunity to work at the intersection of insurance and technology, contributing to the evolution of a tech-enabled workers’ compensation solution.

Requirements

At least 5 years of Workers’ Compensation claims experience, including managing lost time claims, litigated claims, and conduction loss reserve analyses
Proven experience conducting claim reviews directly with policyholders and their agents
Knowledge or experience with Return-to-Work protocols and programs
Demonstrated ability to build positive relationships and partnerships within the department, across the organization, and with external customers
Strong analytical skills with a high level of attention to detail
Excellent written and verbal communication skills, with experience preparing and delivering presentations
Ability to work both independently and collaboratively with team members at all levels
Proficiency in Google Suite (e.g. Google Docs, Sheets, Slides)

Nice To Haves

Experience working at an Insurtech company or MGA
Experience plotting and visualizing data in a business intelligence platform such as Tableau or Looker

Responsibilities

Manage claims for Kinetic policyholders, including claim reviews, reserve analysis, and closure strategies to minimize policyholders’ total cost of risk.
Identify high-risk policyholders and collaborate with the Insurance Operations team to implement risk mitigation strategies.
Facilitate return-to-work programs to reduce claim durations and improve injury recovery outcomes.
Deliver best-in-class customer service to policyholders and internal teams to enhance claims processes and program effectiveness.
Provide on-demand consultations to policyholders, brokers, and other stakeholders to address claims-related concerns.
Update and maintain accurate records, reports, and applications to ensure data consistency.
Analyze claims data and performance metrics, providing actionable insights to management.
Support product improvement initiatives by identifying gaps and opportunities for optimization.
Lead or contribute to special projects that align with broader company goals.