Workers Compensation Claims Representative
About The Position
This role is responsible for handling workers compensation claims independently with minimal oversight, using current claims technology and best practices. The position investigates claims thoroughly, evaluates coverage, damages, and liability, and makes sound decisions to resolve claims efficiently. Responsibilities include negotiating settlements with insureds, claimants, and attorneys; managing files from start to finish; setting and maintaining accurate reserves; and overseeing litigated claims. The role also participates in ongoing training, presents claims to committee as needed, mentors others on the team, and consistently delivers strong customer service while meeting department audit and quality standards.
Requirements
- Work Comp Claim handling experience
- Proficiency with computers and current technology
- Interpersonal skills
- Negotiation skills and problem solving skills
- Oral and written communication skills
Nice To Haves
- WI, IA, AZ, and PA claim handling experience a plus
- Handling litigated claims a plus
- Bachelor’s degree in Business, Insurance or related field
- Associate in Claims designation
- Associate in General Insurance designation
- CPCU coursework or other continuing education
Responsibilities
- Handle work comp claims with minimal supervision and guidance from the manager.
- Utilize current Claims technology.
- Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability.
- Negotiate settlements with insureds, claimants and attorneys.
- Responsibilities also include active file management, ensuring proper reserving, participation in training activities, presentation of claims to Committee and supervision of litigated files.
- Serve as a mentor for others in the team or department.
- Consistently exhibit a high level of customer service and adherence to department audit guidelines.
Benefits
- Medical & Prescription Insurance
- Health Savings Account
- Dental Insurance
- Vision Insurance
- Short and Long Term Disability
- Flexible Spending Accounts
- Life and Accidental Death & Disability
- Accident and Critical Illness Insurance
- Employee Assistance Program
- 401(k) Plan with Company Match
- Pet Insurance
- Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates
- Bonus eligible based on performance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
1-10 employees
