FLEX Senior Claims Adjuster

26-031 Claims Adjuster or Sr. Claims Adjuster
Who We Are Chesapeake Employers’ Insurance Company is a purpose-driven organization dedicated to improving the lives and livelihoods of our policyholders, injured workers, team members, and the community. Join our motivated, professional team as we foster a culture of values, teamwork, innovation, and collaboration. Established in 1914, Chesapeake Employers Insurance, headquartered in Towson, Maryland, has over a century of experience, a strong financial foundation, and an "A" rating from AM Best.

Independently investigate, evaluate, negotiate, settle and adjust claims in accordance with MD Workers’ Compensation Law and internal Guidelines.

Independently investigates assigned claims, following sound claims handling techniques in accordance with company claim philosophy and quality assurance standards, and in accordance with the Maryland Compensation Law.

With limited assistance from unit supervisor, review all relevant data, evaluates claims, determine coverage & compensability, set reserves and negotiates settlement within settlement authority.

Documents files with necessary reports, investigative notes, and other data as may be required by Maryland Workers’ Compensation Law, the company and the unit supervisor. Advise supervisor on status of problematic claims.

Attends hearings, mediations, settlement conferences, pre-trial hearings and fraud trials.

Provides superior customer service to all internal and external stakeholders and the claims public. Keeps agents and policyholders informed of claim status as appropriate. Manages personal caseload effectively in accordance with claims standards and guidelines and demonstrates the ability to learn, develop and manage complex cases.

Demonstrates effective understanding of workers’ compensation claim handling to include evaluation and calculation of average weekly wage, disability ratings, reserves.

Demonstrates an understanding of the impact of Medicare on workers’ compensation claims to include Medicare Set-Asides and Conditional Payments.

adheres to departmental policies, procedures, quality and safety standards, and consistently exhibits Chesapeake’s Values and Behaviors.

Bachelor’s degree and 2-4 years of industry-related experience or 5-8 years equivalent work experience including 3 years of workers’ compensation claims adjusting.

Attainment of AIC certification or comparable certification in insurance.

Knowledge of claims basics including administrative procedures and processes, law, reserving, investigation, calculation of benefits, case management, fraud, subrogation, etc.

Must be a detail-oriented, flexible self-starter, with excellent written and verbal communication skills, capable of handling multiple tasks in a challenging environment.

Bilingual skills strongly preferred.

Personal Leadership

Office environment. Independently investigate, evaluate, negotiate, settle and adjust claims in accordance with MD Workers’ Compensation Law and internal Guidelines, manage more complex claims and mentor others.

Independently investigates claims, following sound claims handling techniques in accordance with company claim philosophy and quality assurance standards, and in accordance with the Maryland Compensation Law.

Reviews all relevant data, evaluates claims, determines coverage and compensability and negotiates within settlement authority.

Documents files with necessary reports, investigative notes, and other data as may be required by the Maryland Workers’ Compensation Law, the company and the unit supervisor. Advise supervisor on status of problematic claims.

Attends hearings, mediations, settlement conferences, pre-trial hearings and fraud trials for assigned files, and accompanies less experienced personnel as requested.

Assists in the training, mentoring and development of less experienced staff and, upon request, assumes supervisory duties in supervisor’s absence.

Provides superior customer service to all internal and external stakeholders and the claims public. Keeps agents and policyholders informed of claim status as appropriate. Manages personal caseload independently and effectively in accordance with claims standards and guidelines, demonstrating the ability to handle cases of various levels of complexity.

Demonstrates effective understanding of workers’ compensation claim handling to include evaluation and calculation of average weekly wage, disability ratings, and reserves.

Analyze and exhibit a higher level of understanding of claims financial exposure directly impacting the business.

Demonstrates an understanding of the impact of Medicare on workers’ compensation claims to include Medicare Set-Asides and Conditional Payments.

Bachelor’s degree and 4-7 years of claims adjusting experience or 10 years equivalent work experience including 5 years of workers’ compensation claims adjusting and AIC designation or comparable designation.

Must be a detail-oriented, flexible self-starter, with excellent written and verbal communication skills, capable of handling multiple tasks in a challenging environment.

Customer Experience Management

Office environment. We offer a competitive benefits package that includes health, vision, and dental coverage, a robust PTO plan, an 8% employer contribution to retirement regardless of team member contribution, educational assistance, and opportunities to participate in team member appreciation events. Additionally, we provide STD, LTD and group life insurance 1X a team members salary. You'll also enjoy free tickets to community attractions, all part of our commitment to providing a high quality of work life. You will have the flexibility to thrive in a hybrid work environment and an opportunity to participate in development and volunteer programs.

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