Workers Comp Claims Specialist

Remote, USA Full-time Posted 2026-06-06

Job Description:

Manages a large inventory of complex claims to evaluate compensability/liability.
Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages.
Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority.
May attend arbitrations, mediations, depositions, or trials.
Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.

Requirements:

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 9 years of experience in property and casualty claims handling
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge.
Demonstrates excellent analytical, negotiation, and problem-solving skills.
Maintains strong knowledge of insurance policies, coverage, and claims handling procedures.
Maintains knowledge of industry laws and regulations.
Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims.
Proven ability to handle confidential information with discretion.

Benefits:

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