Liability Claim Adjuster

Key Risk Workers' Compensation Claims Representative III With over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom to do what they do best. Offering guaranteed cost options to employers nationwide, Key Risk focuses on delivering products and services within specialized verticals to reduce workers' compensation exposures and deliver industry-leading results.

All products and services are distributed through appointed insurance agents and brokers. Key Risk is a member company of W. Berkley Corporation, whose insurance company subsidiaries are rated A+ (Superior), Financial Size Category XV by A.M. Responsibilities The Workers' Compensation Claims Representative III is responsible for the analysis and management of complex workers' compensation claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process, and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. Acts in a fiduciary role on behalf of policyholders and negotiates claim settlements. Claims Representative III conducts the handling of claims in the utmost of good faith in compliance with the rules, regulations and state statutes. The Claims Representative III is expected to function with a high degree of competency. The use of sound judgment coupled with technical claim handling skills and consistent results are expected.

Analyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim.

Negotiate settlement of claims up to designated authority level and makes claims payments.

Calculates and assigns timely an appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim.

approves all claim payments; and settles claims within designated authority level.

Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.

Actively manages the litigation process; ensures timely and cost-effective claims resolution.

Coordinates vendor referrals for additional investigation and/or litigation management.

Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.

Frequently communicates with all appropriate parties involved with the claim.

Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.

3+ years of MD and DC workers compensation claims handling experience preferred

In depth knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific.

May be required to obtain Adjuster license for other jurisdictions

Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.

Ability to travel for business purposes, approximately less than 10%.

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $70,000 $85,000 Eligible to participate in annual discretionary bonus. Benefits: 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;