7 часов назад
WC Claims Resolution Specialist (Workers' Compensation)
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
WC Claims Resolution Specialist (Workers' Compensation): Managing medium- to high-severity workers' compensation claims for loss-sensitive insurance programs with an accent on investigations, coverage analysis, reserves, negotiations, and settlements. Focus on resolving litigated claims, analyzing legal pleadings, developing proactive resolution strategies, and mentoring other claims handlers.
Location: Irving, Texas, United States; hybrid work with office attendance two days per week on Tuesdays and Wednesdays.
Company
is a property and casualty insurance company serving mid-sized commercial enterprises in construction, manufacturing, and healthcare.
What you will do
- Investigate workers’ compensation losses, determine coverage and compensability, and analyze supporting documents and legal pleadings.
- Manage litigated claims in collaboration with legal counsel and develop resolution strategies, including damage evaluations, negotiations, and settlements.
- Establish accurate claim reserves, explain financial exposure to insureds, and prepare claim summaries and reserve updates.
- Coordinate with insureds, agents, medical providers, injured workers, and other stakeholders to resolve claims and support timely return to work.
- Identify external resources, monitor costs, analyze claims trends, and support risk mitigation and claims education.
- Mentor and train other claims handlers.
Requirements
- Bachelor’s degree or an equivalent combination of education and experience.
- At least five years of experience handling medium- to high-severity or complex workers’ compensation claims.
- Expertise in Texas workers’ compensation claims is required; experience with Arizona, Arkansas, and Oklahoma is preferred.
- Ability to obtain appropriate state licensing as required.
- Strong analytical, communication, relationship-building, and attention-to-detail skills.
- Proficiency with Microsoft Office Suite and willingness to travel overnight up to 15%.
Culture & Benefits
- Competitive base pay and performance-based incentive pay.
- Health and welfare benefits, a 401(k) savings plan with profit sharing, and paid time off.
- Flexible work arrangements supporting work-life balance.
- Collaborative environment focused on professional growth.
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