Senior Workers Compensation Claims Specialist

Job Description

Senior Workers Compensation Claims Adjuster

Job Summary

Seeking a highly skilled and experienced Senior Workers Compensation Claims Adjuster to join a team. The ideal candidate will possess strong litigation skills and the ability to manage claims of medium complexity and severity including litigated files. This position offers the flexibility of a hybrid work environment (onsite Tuesdays and Wednesdays).

Compensation Package

• Salary Range: $90000 - $100000 annually
• Employment Type: Full-time Direct Hire

Responsibilities

• Collaborate and communicate with agents policyholders and internal stakeholders on claims of medium complexity/severity.
• Investigate losses identify coverage determine compensability and analyze documents and legal pleadings.
• Develop and execute action plans to proactively resolve claims evaluate damages negotiate settlements and close claims in a timely manner.
• Establish and maintain accurate reserves for each claim to reflect financial exposure.
• Engage and manage external resources as needed to ensure proper claim resolution while controlling costs.
• Collaborate with legal counsel to manage litigated claims effectively.
• Review and interpret commercial insurance policies and communicate coverage issues clearly both verbally and in writing.

Qualifications/Requirements

• Bachelors degree or equivalent combination of education and experience.
• Minimum of 3 years of experience handling workers compensation indemnity claims of medium complexity/severity.
• Jurisdictional expertise and certification in Arizona claims is required.
• Licensing to cover Arizona Utah Texas and Colorado is mandatory.
• Familiarity with Guidewire (Claims Center) is preferred.
• AIC or SLA certification is a plus.
• Proficient in Microsoft Office Suite and other relevant computer skills.
• Strong analytical skills with exceptional attention to detail.
• Excellent verbal and written communication skills for interaction with internal and external stakeholders.
• Demonstrated ability to build positive relationships and partnerships across departments and with external customers.

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