Senior Workers' Compensation Claims Adjuster

About the role

Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution. Promotes the success of the organization through development of relationships with agencies, policyholders and employees. This role requires expertise in Tennessee with Mississippi as being nice to have.

Responsibilities

• Collaborate and communicate with agents, policyholders and internal stakeholders on claims of medium complexity/severity and book of business.
• Investigate losses, identify coverage, determine compensability, review and analyze documents and legal pleadings.
• Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines.
• Establish and maintain proper reserves for each claim to accurately reflect the financial exposure.
• Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs.
• Collaborate with counsel to manage litigated claims.
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing.

Qualifications

• Bachelor's degree or equivalent combination of education.
• 3 years of experience handling workers' compensation indemnity claims of medium level of complexity/severity.
• AIC or SLA certification preferred.
• Ability to obtain appropriate state licensing as required.
• Proficient computer skills required including Microsoft Office Suite.
• Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers.
• Strong analytical skills and attention to detail.
• Excellent verbal and written communication skills with the ability to interact with internal and external customers.
• Ability to travel overnight up to 10%.
• Ability to travel daily between locations.

Benefits

• Competitive base pay
• Performance-based incentive pay
• Comprehensive health and welfare benefits
• 401(k) savings plan with profit sharing
• Generous paid time off programs
• Flexible work arrangements to promote work-life balance