Senior Claims Specialist

Berkley Industrial Comp’s underwriting department focuses on workers’ compensation insurance, partnering closely with underwriting and business engagement teams to support strong renewal outcomes and customer service.

Responsibilities

• Manage both lost time and med only claims across multiple jurisdictions up to $250,000 in exposure, including investigation, evaluation, and resolution.
• Interface with underwriting, risk management, case management, clients, and vendors to control costs and loss ratios while providing appropriate care to claimants.
• Provide leadership within the claims department.
• Oversee catastrophic and large loss claims from beginning to resolution.
• Manage all technical aspects of claims: 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 while providing medical needs within jurisdictional guidelines and company philosophies.
• Determine appropriate reserves to adequately reflect exposure of losses.
• Attend and participate in training sessions, account visits, and claim reviews.

Requirements

• Bachelor’s degree with concentration in criminal justice, public administration, business, nursing, or insurance OR equivalent work experience.
• Five years’ minimum experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims (ten years preferred).
• Experience across multiple jurisdictions preferred.
• Possess and maintain a professional adjusting license in all applicable jurisdictions or obtain within one year of job acceptance.
• Strong interpersonal, analytical, and negotiation skills.

Benefits

• Base Salary Range: $80,000–$100,000 (actual salary determined by scope, complexity, location, skills, education, training, credentials, and experience).
• Eligible to participate in annual discretionary bonus.
• Health, Dental, Vision, Life, and Disability insurance.
• Wellness programs.
• Paid Time Off.
• 401(k) and Profit-Sharing plans.

Working Conditions

Normal office conditions.