Senior Claims Specialist

Responsibilities

• Oversee catastrophic and large loss claims from beginning to resolution.
• Manage 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 to the accounts or account visits 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.