Senior Workers' Compensation Claims Representative

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are key reasons Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim-paying ability rating by Standard & Poor’s. We value our employees, customers, and communities, promoting an inclusive environment that encourages continuous learning and growth.

Responsibilities

• Investigate, evaluate, and resolve assigned workers’ compensation claims in accordance with company standards, procedures, and state regulatory requirements.
• Analyze and determine specific facts of loss to reach appropriate decisions and effectively communicate the company’s compensability decisions.
• Compose professional and error-free written communications to insureds, claimants, attorneys, and agents.
• Conduct detailed, comprehensive claim investigations, including on-site scene examinations and in-person witness interviews when necessary.
• Evaluate and document exposure to ensure accurate and timely reserves; escalate cases with significant exposure to management immediately.
• Negotiate effectively and in good faith to achieve fair and accurate claim settlements.
• Proactively manage litigated claim files from inception to closure, collaborating with defense counsel to execute an appropriate plan of action; resolve cases via negotiated settlement or hearing decisions.
• Retain vendors to achieve appropriate claim outcomes while managing loss adjustment expenses.
• Manage assigned workloads to meet quality and production goals while providing superior customer service.
• Present cases in roundtable discussions with peers and management at all levels.
• Document all notes and file activity in a paperless claim system; compose detailed periodic reports, including claim summary reports and large loss notifications.
• Communicate with other departments regarding claim file developments and overall claim trends relevant to Acadia’s business.
• Maintain strong relationships and frequent communication with Acadia’s agency partners.
• Work proficiently with various computer programs, including MS Word, Excel, and other claim-handling applications.
• Attend internal and external seminars and training events; provide feedback to peers and management.
• Obtain and maintain all required state adjuster licenses, complying with continuing education requirements.
• Pursue industry-related professional designations (e.g., AIC, CPCU) as encouraged.
• Perform other duties as assigned.

Qualifications

• 5 years of New Hampshire and/or Maine Workers’ Compensation Lost Time claims handling experience.
• Valid NH WC adjuster license.
• Excellent organizational skills with the ability to handle multiple tasks and prioritize workload effectively.
• Demonstrated negotiation and claims resolution skills.
• Strong computer skills and ability to work with multi-faceted systems.
• Ability to independently manage a complex workload while exhibiting sound judgment.
• Excellent written and verbal communication skills.
• Demonstrated ability to develop and maintain relationships with agents and other departments while exemplifying superior teamwork.
• Advanced professional insurance coursework (e.g., AIC, CPCU) or completion of other insurance-related classes is preferred.
• Valid Driver’s License is required.

Bachelor’s degree (B.A.) and a minimum of 5 years of related experience and/or training, or an equivalent combination of education and experience.

Benefits

• Health, dental, and vision insurance.
• Life and disability insurance.
• Wellness programs.
• Paid time off.
• 401(k) and profit-sharing plans.

Pay

Base Salary Range: $90,000–$105,000. Eligible to participate in an annual discretionary bonus. The actual salary will be determined by factors such as scope, complexity, location, skills, education, training, credentials, and experience.