Senior Workers Compensation Claims Adjuster
American Global Co
American Global has an exciting and growing opportunity to join our team as a Senior Workers' Comp Claims Advocate. This is a highly visible role working with clients, insurance carriers, and our internal team. We are looking to add a passionate, talented individual who will help our growing claims department deliver exceptional customer service to our clients. Key Responsibilities Support claims team with day-to-day monitoring of claims activities of carriers and third-party administrators Facilitate claim reviews with clients and/or insurance carriers when needed Partner with client legal counsel on coverage, claims and strategy for settlement Facilitate periodic claim reviews with clients and/or insurance carrier focusing on reserving practices, strategy and resolution Analyze claim information for frequency and severity trends and assist clients in implementing risk-management processes and/or connecting them with resources to improve claim outcomes Analyze new & existing losses, with focus on client claim advocacy, including investigation, reserving & litigation management. Develop appropriate resolution plans aimed at bringing claims to satisfactory conclusions based on findings. Provide support and training to client insurance and field staff on claims process, investigations, labor law issues, and litigation matters including current case law relative to their claims Assist in training of Claims Associates Drive and execute the claims onboarding for new American Global accounts and document key discussion points Compile and/or approve complete, accurate and timely submissions and deliver to underwriters Provide persuasive advocacy on all reservation of rights & denials in order to maximize available coverage Cultivate local and regional relationships with claim trading partners to support company visibility and credibility in the construction insurance marketplace. Maintain ongoing communication with internal and external partners to ensure a high-level of customer service Maintain insurance license & CE requirements Additional responsibilities as required Skills & Experience That Lead To Success Minimum 7 to 12+ years of experience direct handling of Workers' Compensation claims at an insurance carrier, TPA or brokerage Bachelor’s Degree preferred or related work experience Proficient understanding of risk transfer methods Excellent written and verbal communication skills Time Management / Prioritization Strong attention to detail Demonstrated problem solving, communication and presentation skills High level of professionalism Ability to embrace change and innovation as the industry evolves Ability and willingness to work with technology and data Additional/Preferred Qualifications Experience analyzing claims data for trends and client recommendations (RMIS, Origami, Tailwinds, EPIC) Valid driver’s license and reliable transportation required Ability to travel as required What You Can Expect From Us Comprehensive Benefits Package Collaborative and innovative environment Culture of continuous learning and professional development Competitive salary package 401k with above-average employer match of up to 5% of your salary Leadership training and support Work/Life Balance (Summer Fridays, flexible work arrangements and mental health services) Education and Student Loan Assistance American Global is proud to be an equal opportunity workplace. We provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. We welcome applications from all and provide individuals with disabilities reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email View email address on click.appcast.io. The salary range for this position (intended for U.S. applicants) will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. #J-18808-Ljbffr
$10.9 - $80.79 per hour
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$90k - $110k
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