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.
About the role
- Claims Examiner for Workers Compensation analyzing and adjudicating complex claims for various jurisdictions. Working in a hybrid model from Plano, TX or remote for experienced professionals.
Responsibilities
- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim;
- Manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims;
- Manages reserve adequacy throughout the life of the claim.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Ensures claim files are properly documented and claims coding is correct.
Requirements
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Five (5) years of claims management experience or equivalent combination of education and experience required.
- Jurisdiction Knowledge: TX, OK, LA.
- Licensing: TX or FL.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Opportunity to work in an agile environment.
- Career development and promotional growth opportunities.
- A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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