Workers Comp Claims Representative
Workers Comp Claims Representative
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Salary Not Disclosed
1 Vacancy
Job Description
Company Details
Berkley Mid-Atlantic Insurance Group is a member of W. R. Berkley Corporation one of the largest commercial lines property casualty insurance holding companies in the United States. With the resources of a large Fortune 500 corporation and the ability to operate with the closeness and flexibility of a small company we exclusively work with select independent agents to ensure the future of business.
Company URL: company is an equal opportunity employer.
Responsibilities
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.
- 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.
Qualifications
- 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.
Additional Company Details
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Sponsorship Details
Required Experience:
Unclear Seniority
Employment Type
Unclear
