Senior Workers’ Compensation Claims Specialist

Western National Group & Umialik Insurance•Edina, MN

3d•Hybrid

About The Position

Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as “The Relationship Company®,” we define success as a measure of the relationships we’ve built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. That’s the power of “nice”. At Western National, nice is something we work to bring to every person and organization with whom we partner and serve. Does this opportunity interest you? 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.