Workers Compensation Claims Specialist, South Region
reputed company is a leading provider of insurance solutions, and they are seeking a Workers Compensation Claims Specialist to join their Claims Team. The role involves investigating claims, evaluating losses, negotiating settlements, and providing service to policyholders on reputed company accounts.
Responsibilities
- Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first reputed company of contact (injured workers, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly
- Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources
- Manages an inventory of worker’s compensation claims, evaluates compensability/liability and losses, and negotiates settlements reputed company prescribed limits
- Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols
- Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action
- Responsible for review, analysis, and disposition of assigned claims reputed company authority limits and state compliance
- Updates file, strategizes and executes plans to mitigate exposure and increase disposal
Skills
- Effective interpersonal, analytical and negotiation abilities required
- Ability to provide information in a clear, concise manner with an appropriate level of detail
- Demonstrated ability to build and maintain effective relationships
- Demonstrated reputed company in a professional environment; reputed company in a customer service/retail environment preferred
- Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent
- Knowledge of legal liability, insurance coverage and medical terminology are helpful, but not mandatory
- Licensing may be required in some states
Benefits
- Flexible Time Off Annual Accrual - days: 15
- Comprehensive benefits
- Workplace flexibility
- Professional development opportunities
- Opportunities provided through our Employee Resource Groups
Company Overview