Workers Compensation Claims Administrator

North Risk Partners, LLC•Sioux Falls, SD

3d•$80,000 - $95,000•Hybrid

About The Position

The Workers’ Compensation Claims Administrator serves as a claims advocate for North Risk Partners’ clients and works closely with Risk Advisors across the company. The role resolves client issues by developing trusted relationships and providing expert advocacy. It provides guidance on workers’ compensation claims, monitors claim handling and reserves, supports large client accounts, analyzes loss history, and works with clients and insurance adjusters toward appropriate claim resolutions. The position also mentors Associate Claims Administrators and collaborates with team members to identify claim issues, solutions, strategies, and services. The role is primarily office-based and involves frequent computer work, movement around the workplace, and travel to North Risk Partners locations and client meetings. A flexible schedule, including overtime, nights, and weekends, may be needed for events and meetings. The work environment is primarily indoors, with exposure to varying weather conditions during work-related travel and outdoor events.

Requirements

A combination of education and experience generally attained through a bachelor’s or associate degree and at least 6 years of work experience in workers’ compensation claims.
Strong understanding and knowledge of workers’ compensation claims processes.
Active property and casualty license.
Strong written and verbal communication skills and the ability to demonstrate client empathy.
Ability to maintain internal and external relationships professionally.
Ability to carry out complex tasks involving many variables.
Proficiency in Excel, Word, and database programs.
Valid driver’s license and ability to travel to company locations and client meetings.
Ability to work a flexible schedule, including overtime, nights, and weekends as needed.
Ability to perform the stated physical requirements, including lifting or carrying objects weighing up to 25 pounds, frequent movement and reaching, and extended periods of sitting and computer work.

Nice To Haves

Knowledge of ModMaster.

Responsibilities

Provide clients with service, expertise, and guidance using a planned approach to prompt and fair handling of workers’ compensation claims.
Develop action plans for high-exposure claims.
Provide value-added services for large client accounts.
Monitor specific claims to support reserve accuracy and accurate claims handling.
Act as a liaison between insurance adjusters and clients, advocating for the best claim resolution.
Conduct challenging discussions respectfully.
Set priorities and manage workflow to produce efficient, timely, and accurate work using company software systems.
Collaborate with team members to identify claim issues, potential solutions, strategies, and client services.
Prepare and analyze loss history and claim reports to identify loss trends and help reduce the cost of risk.
Develop a full understanding of experience modifications, reserve analysis, and Unit Stat Card filings.
Mentor Associate Claims Administrators.