Senior Claims Specialist

Berkley•Las Vegas, NV

119d•$80,000 - $105,000•Onsite

About The Position

Berkley Industrial Comp provides best in class workers’ compensation insurance solutions to high hazard industries. BIN’s mission is to provide an unparalleled customer experience within the high hazard workers’ compensation market. BIN achieves its mission by focusing on the following core values: Integrity – Do the right thing, always. Build trust through honesty, transparency, and consistency. Exceeding Expectations – Go beyond “good enough.” Deliver standout results and raise the bar every time. Empowerment – Equip and trust people. Encourage initiative, decision-making, and growth. Expertise – Stay sharp. Apply deep knowledge and continuous learning to deliver smart solutions. Community – Connect with purpose. Foster belonging, respect, and shared success. We believe in embracing the collective power of people committed to doing right by one another, our stakeholders, and communities. Our core values rest at the heart of this collective effort.

Requirements

Bachelor’s degree with concentration in law, public administration, business, nursing or insurance OR equivalent work experience.
7+ years of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims.
Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
Strong interpersonal, analytical, and negotiation skills.

Nice To Haves

Ten (10) years’ experience preferred.
Experience in catastrophic and/or large losses preferred.

Responsibilities

Managing complex and/or catastrophic claims within all jurisdictions, including investigation, evaluation, and resolution.
Interfacing with underwriting, risk management, case management, clients, and vendors to control costs and loss ratios and provide appropriate claimant care.
Providing leadership for day-to-day activities on large loss and catastrophic claims.
Overseeing catastrophic and large loss claims from beginning to resolution.
Managing all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
Verifying and interpreting coverage issues.
Consulting with attorneys, assisting in negotiation of settlement, mediations and trials (attending trials as necessary).
Resolving problems involving multi-faceted claims handling.
Investigating, evaluating, and negotiating claims toward resolution and providing medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
Determining appropriate reserves to adequately reflect exposure of losses.
Attending and participating in training sessions to the accounts or account visits and claim reviews.