Workers Comp Senior Claims Representative managing claims for a leading commercial transportation insurer. Evaluating compensability, negotiation settlements, and ensuring timely claims resolution.
About the role
- Workers Comp Claims Specialist at National Interstate Insurance managing a large inventory of complex claims and conducting comprehensive investigations. Supporting decision-making processes for coverage and liability determinations while maintaining strong relationships with stakeholders.
Responsibilities
- 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)
- Prefer Experience handling MO IL IA & WI
- 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
Benefits
- medical, dental, and vision coverage
- wellness plans
- parental leave
- adoption assistance
- tuition reimbursement
- Paid Time Off and paid holidays
- 401(k) plan with company match
- employee stock purchase plan
- commuter benefits
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