1 час назад
Workers' Compensation Claim Specialist
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Workers' Compensation Claim Specialist (Insurance Claims): Investigating and resolving high-complexity workers' compensation claims, including litigated files, with an accent on coverage analysis, damage evaluation, reserves, and negotiations. Focus on interpreting commercial insurance policies, collaborating with legal counsel, managing financial exposure, and building relationships with agents and policyholders.
Location: Lisle, Illinois, United States; two-day hybrid schedule with daily travel between locations and up to 10% overnight travel
Company
is a property and casualty insurance company serving mid-sized commercial enterprises in construction, manufacturing, and healthcare.
What you will do
- Investigate and analyze high-complexity and high-severity workers’ compensation claims, including litigated files.
- Identify coverage, determine compensability, review legal pleadings, and communicate coverage issues.
- Collaborate with agents, policyholders, internal stakeholders, and legal counsel to manage claims.
- Develop action plans, evaluate damages, negotiate settlements, and conclude claims according to guidelines.
- Establish accurate reserves, engage external resources, and monitor claim-related costs.
- Participate in cross-functional teams to resolve issues and implement preventive solutions.
Requirements
- Bachelor’s degree or an equivalent combination of education.
- At least 6 years of experience handling high-complexity and high-severity workers’ compensation indemnity claims.
- Ability to obtain appropriate state licensing as required.
- Proficiency with Microsoft Office Suite and strong analytical and attention-to-detail skills.
- Strong verbal and written communication skills and the ability to build relationships with internal and external customers.
- Ability to travel daily between locations and overnight up to 10%.
Nice to have
- AIC or SLCA certification.
Culture & Benefits
- Competitive base pay and performance-based incentive pay.
- Health and welfare benefits.
- 401(k) savings plan with profit sharing.
- Generous paid time off programs.
- Flexible work arrangements supporting work-life balance.
- Workplace focused on collaboration, professional growth, and equal employment opportunity.
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