Workers Comp Claims Representative jobs in United States
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Berkley Mid-Atlantic Insurance Group (a Berkley Company) · 3 months ago

Workers Comp Claims Representative

Berkley Mid-Atlantic Insurance Group is a member of W. R. Berkley Corporation, one of the largest commercial lines property casualty insurance holding companies in the United States. They are seeking a Workers’ Compensation Claims Representative to provide quality claim handling and superior service while managing indemnity and expenses. The role involves investigating and resolving claims, developing action plans, and collaborating with medical management and defense attorneys.

Financial ServicesInsuranceProperty InsuranceReal Estate
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Responsibilities

Investigate, evaluate, reserve, negotiate and resolve Workers Compensation claims in multiple jurisdictions and in accordance with Best Practices
Promptly manage claims by completing essential functions including contacts, investigations, damages development, evaluation, reserving, and disposition
Regularly handle claims involving complex coverage issues and severe injuries
Develop action plans and handle the claims from assignment to early conclusion
Review incoming mail daily, responding as needed to bring the claim to a prompt fair conclusion and seeking supervision as needed
Work closely with medical management as needed
Prepare large loss reports as needed to include updated action plan and recommended reserves
Maintain a current diary on outstanding claims
Provide direction and guidance to defense attorneys and other experts while controlling expenses
Meet or exceed specific objectives for service, quality, and reserving standards and other measurable performance items
Perform other duties as assigned by the Claims Management

Qualification

Workers' Compensation claimsCPCU designationNegotiation skillsGuidewire claims managementMicrosoft Office proficiencyInvestigative skillsCommunication skillsCritical reasoning

Required

5+ years of experience in a workers' compensation claims position
Proven ability to identify and address coverage issues, complete investigations to determine exposure, set timely reserves, and develop detailed action plans
Excellent communication and negotiation skills
Computer proficiency and working knowledge of Microsoft Office products
4-year college degree or equivalent work experience required

Preferred

CPCU, SCLA or AIC designation is a plus
Working knowledge of current state and local workers' compensation laws preferred
Experience in handling multiple jurisdictions is a plus
Experience with Guidewire claims management system is a plus

Benefits

Competitive compensation plan
Robust benefits package

Company

Berkley Mid-Atlantic Insurance Group (a Berkley Company)

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Berkley Mid-Atlantic Group is a commercial property and casualty insurer protecting a wide range of businesses and market segments.

Funding

Current Stage
Growth Stage

Leadership Team

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Allen Latimer
CFO Berkley Mid-Atlantic Group
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Bonnie Dezii
Vice President, Chief Claims Officer
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Company data provided by crunchbase