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
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