Senior Claims Specialist

Responsibilities

• Manage complex and/or catastrophic claims from beginning to resolution.
• Oversee all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Verify and interpret coverage issues.
• Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
• Resolve problems involving multi-faceted claims handling.
• Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
• Determinate appropriate reserves to adequately reflect exposure of losses.
• Attend and participate in training sessions and claim reviews.

Qualifications

• Bachelor’s degree with concentration in law, public administration, business, nursing or insurance OR equivalent work experience.
• 7+ years of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims.
• Ten (10) years’ experience preferred.
• Experience in catastrophic and/or large losses preferred.
• Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
• Strong interpersonal, analytical, and negotiation skills.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details: Sponsorship not Offered for this Role.

Pay

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Schedule

N/A

Benefits

N/A