Workers Comp Claims Representative

Berkley • Glen Allen, VA

89d

About The Position

As a Workers’ Compensation Claims Representative, you will play a critical role in maintaining these standards by providing quality claim handling and superior service to our customers, while also engaging in indemnity and expense management. Success in this position will be driven by combining your experience in Workers’ Compensation claims management with excellent communication and critical reasoning.

Requirements

• 5+ years of experience in a workers’ compensation claims position.
• CPCU, SCLA or AIC designation is a plus.
• Working knowledge of current state and local workers’ compensation laws preferred.
• Experience in handling multiple jurisdictions is a plus.
• Proven ability to identify and address coverage issues, complete investigations to determine exposure, set timely reserves, and develop detailed action plans.
• Excellent communication and negotiation skills.
• Computer proficiency and working knowledge of Microsoft Office products.
• Experience with Guidewire claims management system is a plus.
• 4-year college degree or equivalent work experience required.

Responsibilities

• Investigate, evaluate, reserve, negotiate and resolve Workers Compensation claims in multiple jurisdictions and in accordance with Best Practices.
• Promptly manage claims by completing essential functions including contacts, investigations, damages development, evaluation, reserving, and disposition.
• Regularly handle claims involving complex coverage issues and severe injuries.
• Develop action plans and handle the claims from assignment to early conclusion.
• Review incoming mail daily, responding as needed to bring the claim to a prompt fair conclusion and seeking supervision as needed.
• Work closely with medical management as needed.
• Prepare large loss reports as needed to include updated action plan and recommended reserves.
• Maintain a current diary on outstanding claims.
• Provide direction and guidance to defense attorneys and other experts while controlling expenses.
• Meet or exceed specific objectives for service, quality, and reserving standards and other measurable performance items.
• Perform other duties as assigned by the Claims Management.

Benefits

• Competitive compensation plan
• Robust benefits package for full time regular employees

What This Job Offers

• Job Type: Full-time
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees