Jobs · Human Resources

Field Claims Specialist - Workers' Compensation

Great American Insurance Group · Wisconsin, United States · 4 wk ago
RemoteRemoteHuman Resources$105k–$115k/yrFull-time

Responsibilities

  • Manage a caseload of complex Minnesota workers' compensation claims, some involving significant exposure.
  • Investigate claims and gather facts to determine coverage, compensability, and benefit eligibility.
  • Analyze claims and develop effective resolution strategies.
  • Establish and manage claim reserves.
  • Negotiate settlements and drive timely claim resolution.
  • Conduct face-to-face meetings with injured workers, employers, and other stakeholders.
  • Prepare and present large loss reports to internal and external audiences.
  • Attend mediations, settlement conferences, pre-trials, and trials as needed.
  • Persistently partner closely with defense attorneys, medical case managers, surveillance vendors, and other claim resources.
  • Ensure claims are handled in compliance with Minnesota workers' compensation laws and regulations.

Qualifications

  • Typically requires 10+ years of workers' compensation claims handling experience; exceptional candidates with 7+ years of proven success handling complex or high-exposure Minnesota workers' compensation claims will be considered.
  • Active Minnesota Adjuster's License required.
  • Strong knowledge of Minnesota workers' compensation laws, regulations, and claim handling practices.
  • Demonstrated ability to independently investigate, evaluate, negotiate, and resolve complex claims.
  • Excellent written and verbal communication skills with the ability to build strong relationships with a variety of internal and external stakeholders.
  • Professional designations such as Associate in Claims (AIC) are preferred.
  • Ability to travel approximately 60% of the time.

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