Senior Liability Claims Adjuster - Remote

BerkleyNet is an innovative workers compensation insurance provider that does all of our business online. Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due

Calculate and set timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle

Record and code injured worker demographics, job information and accident information in company’s claims management system and file necessary forms with state regulatory agencies

Issue timely payments to injured workers, medical providers and service vendors

Coordinate and actively manage medical treatment of injured workers to ensure timely rehabilitation

Negotiate settlements of claims within designated authority with injured workers and attorneys

Serve as the team’s subject matter expert of the Workers’ Compensation Act, adjudication process, and regulatory compliance framework in assigned jurisdictions

Regularly communicate claim activity and status updates to policyholders, injured workers and other interested parties in a professional, thoughtful and tactful manner

Notify management and develop reports for large exposure claims and comply with reinsurance reporting requirements

Manage the claims litigation process to ensure timely and cost-effective claims resolution

Periodically travel to attend hearings, conferences and training sessions

Attend and participate in claim file reviews with management and defense attorneys

Coordinate and lead special projects or processes as assigned by management

Support management with training and staff development

Obtain and maintain adjuster license(s) in assigned jurisdictions

For highly qualified candidates with experience in California Workers’ Compensation claims, remote work arrangements may be considered for those located more than 50 miles from a WR Berkley office.

3 - 5 years of experience handling workers’ compensation claims

Strong interpersonal and relationship building skills

Strong discretion and integrity in dealing with highly confidential and sensitive information

Bachelors’ degree or equivalent insurance industry work experience

AIC, ARM, CCP, or CPCU insurance designation preferred

The company offers a competitive compensation plan and robust benefits package for full time regular employees.

Base salary & Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans.

the skills, education, training, credentials and experience of the candidate; Low level of domestic U.S. travel required (up to 5% - 10% of time)

#