Senior Claims Specialist

Company Details

Berkley Industrial Comp

Berkley Industrial Comp's (BIN) underwriting department focuses on workers' compensation insurance, partnering closely with underwriting and business engagement teams to support strong renewal outcomes and customer service. The Associate Underwriter role is a key part of this function, helping ensure renewal business is effectively reviewed, quoted, and retained while gaining exposure to all facets of the underwriting job.

The Company is an equal employment opportunity employer.

Responsibilities

This position is responsible for managing both lost time and med only claims across multiple jurisdictions up to $250,000 in exposure. This includes investigation, evaluation, and resolution of claims. Interface with underwriting, risk management, case management, clients, and vendors as appropriate in controlling costs and loss ratios and providing the claimant with appropriate care. Provide leadership within the claims department.

Key functions include but are not limited to the following:

• Oversee catastrophic and large loss claims from beginning to resolution.
• Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Verify and interpret coverage issues.
• Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
• Resolve problems involving multi-faceted claims handling.
• Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
• Determinate appropriate reserves to adequately reflect exposure of losses.
• Attend and participate in training sessions to the accounts or account visits and claim reviews.

Qualifications

Education Requirement

• Bachelor's degree with concentration in criminal justice, public administration, business, nursing or insurance OR equivalent work experience.

Qualifications: Include necessary skills/experience and core competencies required

• Experience across multiple jurisdictions preferred.
• Five (5) years' minimum of experience adjusting workers' compensation claims with significant experience handling Workers' Compensation claims. Ten (10) years' experience preferred.
• Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
• Strong interpersonal, analytical, and negotiation skills.
• The Company is an equal employment opportunity employer.

Working Conditions and Physical Requirements

Normal office conditions.

Additional Company Details

We do not accept unsolicited resumes from third party recruiting agencies or firms.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.