Senior Workers’ Compensation Claims Specialist

Western National Group & Umialik Insurance • Edina, MN

4d • $74,200 - $111,300 • Hybrid

About The Position

Western National is seeking a Workers’ Compensation Claims Specialist to join our team! The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve complex and large-exposure Workers’ Compensation insurance claims while serving as a technical consultant and subject matter expert for business partners and fellow claims professionals.

Requirements

• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Responsibilities

• Investigates, evaluates, negotiates, and resolves Workers’ Compensation claims as assigned.
• Handles complex and large-exposure Workers’ Compensation claims.
• Ensures customer service excellence.
• Reviews coverage, investigates facts, and evaluates claim-related materials to make appropriate decisions regarding compensability, exposure, and claim resolution.
• Establishes and reviews appropriate reserves for each claim based on thorough investigation, evaluation, and jurisdictional expertise.
• Maintains accurate reports and documentation to ensure claim status is clearly documented at all times.
• Provides direction to outside resources.
• Serves as a technical consultant and subject matter expert to business partners and other claims representatives.
• Makes decisions guided by general instructions and practices requiring interpretation.
• Makes decisions automatically on routine issues.
• Recognizes problems or situations that are new or without clear precedent.
• Finds solutions using a systematic, multi-step approach.
• Develops improvements and innovations that enhance performance and claim outcomes.
• Maintains regular contact with customers, including policyholders, claimants, and agents, as well as employees across the organization.
• Maintains regular contact with outside vendors.
• Occasional travel for client visits, education or training activities as required.
• Performs special projects and other duties as assigned.

Benefits

• Medical insurance plan options
• dental insurance
• vision benefits
• life insurance
• disability insurance
• Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• 401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)
• Wellbeing Program
• onsite fitness studio
• Paid Time Off – including holiday, vacation, and volunteer
• 100% company-paid tuition reimbursement for approved job-relevant coursework
• access to The Institutes (Risk and insurance education)
• Paid parental leave
• Bonus opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed