Senior Claims Specialist

About the role

Berkley Industrial Comp’s (BIN) underwriting department focuses on workers’ compensation insurance, partnering closely with underwriting and business engagement teams to support strong renewal outcomes and customer service. The Associate Underwriter role is a key part of this function, helping ensure renewal business is effectively reviewed, quoted, and retained while gaining exposure to all facets of the underwriting job.

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 and ensure appropriate claimant care.
• 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 and 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.
• Experience across multiple jurisdictions preferred.
• Five (5) years’ minimum experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims; ten (10) years 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
• Eligible to participate in annual discretionary bonus
• Health, Dental, Vision, Life, Disability, and Wellness benefits
• Paid Time Off
• 401(k) and Profit-Sharing plans