Claims Associate - Workers Comp.

Claims Associate

Are you a detail-oriented, analytical professional looking to launch a meaningful career in insurance and claims management?

Avenica has partnered with our customeran industry-leading insurance groupto hire a Claims Associate focused on Workers' Compensation in their growing claims division.

This is a structured, development-focused role designed to build your expertise in workers' compensation claims through hands-on experience and interactive training. You'll work closely with a Team Leader in a fast-paced, professional environment with exposure to the full claims lifecyclefrom intake and investigation through resolution and settlement. Our customer is a financially stable, nationally recognized employer of choice with offices in major U.S. cities and a strong track record of developing early-career talent.

Why Join Our Customer?

• Competitive hourly compensation of $27.14/hour.
• Hybrid flexibility after training3 days in office, 2 days work from home.
• Structured onboarding and development program designed to build long-term claims expertise.
• Adjuster licensing supportour customer provides independent self-study time and allows up to four months to pass the adjuster licensing exam.
• Work for a nationally recognized, financially stable industry leader with a broad U.S. footprint.
• Exposure to a diverse, fast-paced environment with clear career development opportunities.

Key Responsibilities

• Receive claim assignments and review claim and policy information to provide background for investigation; determine extent of policy obligation as applicable.
• Contact, interview, and obtain statements from insureds, claimants, witnesses, physicians, attorneys, police officers, and other relevant parties to secure necessary claim information.
• Evaluate investigation findings to determine extent of insured liability and company obligation under the policy contract.
• Prepare reports on investigations, settlements, claim denials, and individual evaluations of involved parties.
• Set reserves within authority limits and recommend reserve changes to the Team Leader.
• Review claim progress and status with the Team Leader; discuss problems and propose remedial actions.
• Identify and escalate unusual or potentially undesirable claim exposures to the Team Leader.
• Assist the Team Leader in developing methods and process improvements for claims handling.
• Settle claims promptly and equitably; obtain releases, proofs of loss, or compensation agreements and issue drafts for payment.
• Communicate claim denials to claimants, insureds, or attorneys as applicable.
• Support the Team Leader and company attorneys in trial preparation: arranging witness attendance, taking statements, and continuing settlement efforts.
• Participate in claim file reviews and audits with customers, insureds, and brokers.
• Administer benefits timely and appropriately; maintain control of the claims resolution process to minimize current and future exposure.

What You Bring

• Bachelor's or Master's degree, or equivalent professional experience.
• Basic knowledge of insurance industry concepts, claims handling practices, and procedures.
• Proficiency in Microsoft Word, Excel, and Outlook.
• Strong analytical skills and attention to detail.
• Customer-focused mindset with a sense of urgency and responsiveness.
• Strong communication skillsable to listen effectively and express opinions and concerns diplomatically with team members.

Licensing Note: An applicable resident or designated home state adjuster's license is required for field claims adjusters. Our customer supports independent self-study and allows up to four months to pass the adjuster licensing exam.

Equal Employment Opportunity

Avenica is an Equal Opportunity Employer. We are committed to creating an inclusive and diverse workplace where all individuals are respected and valued. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other protected characteristic.

We believe that diversity of backgrounds, perspectives, and experiences strengthens our team and drives innovation. We welcome applicants from all walks of life and encourage individuals from underrepresented groups to apply.