Senior Claims Specialist - Workers Compensation

Key Responsibilities

• Conduct investigations by interviewing involved parties, collecting documentation, and securing evidence to determine coverage, liability, and damages.
• Engage independent experts, adjusters, and medical examiners as needed.
• Assess policy coverage, establish and adjust reserves, and negotiate claim settlements within authority limits.
• Cookordination litigation activities, attend trials, and ensure timely, cost-effective resolutions.
• Support team members with technical guidance, mentor new staff, and participate in quality reviews and claim-related meetings.
• Handle field investigations, participate in mediations, arbitrations, and assist with closed file reviews.

Qualifications & Skills

• Strong interpersonal, negotiation, and investigative skills.
• Leadership ability, effective time management, and resource organization.
• Advanced knowledge of claims handling, legal liability, insurance policies, and tort laws.
• Bachelor’s degree or equivalent training plus 3-5 years of related experience.
• Required licenses, with eligibility for remote or onsite work depending on location.