Senior Claims Specialist- Workers' Compensation

BITCO Insurance Companies • Irving, TX

7d • Hybrid

About The Position

This role manages Workers’ Compensation claims overseeing the full claim lifecycle from initial coverage and compensability determinations through investigation, reserving, evaluation, and resolution. The position ensures timely and effective claim handling in compliance with company standards and regulatory requirements, while delivering a high level of service to internal and external business partners. The role also offers opportunities to broaden expertise by gaining exposure to additional lines of coverage.

Requirements

• Minimum of 5 years of experience with the following:
• Claims Investigation – Statements, authorizations, retention of qualified experts and counsel
• Claims Administration – Reports, review and set accurate and timely reserves, compliance knowledge of laws and procedures, including lost time, serious injury, and litigated claims
• Litigation management – work with defense counsel and experts to resolve litigated claims
• Knowledge of coverage, reserving principles, investigation and negotiation techniques
• Licensed to handle Texas Workers Compensation Claims
• Ability to obtain and maintain state adjusting licenses, as needed
• Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
• Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
• Ability to manage and organize workload of multiple tasks simultaneously
• Excellent judgement, negotiation, and decision making skills
• Must be able to travel, potentially overnight

Responsibilities

• Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
• Investigate claims, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
• Provide proper documentation and reporting of investigation and claims handling activities
• Maintain a working knowledge of regulatory and jurisdictional requirements
• Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
• Other duties as assigned

Benefits

• Competitive salary and benefits
• Paid vacation and 12 paid holidays a year
• Health, dental, and vision insurance
• Company paid life insurance – 2x annual earnings
• Old Republic 401(k) Savings and Profit Sharing Plan
• Education and training opportunities
• Insurance designations encouraged with financial assistance available
• Daily two-hour flexible start and end time for 7.5-hour workday
• Employee Fitness Program

What This Job Offers

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