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Acadia Insurance (a Berkley Company) · 3 months ago

Workers Comp Claims Representative

US-VA-Glen Allen

Full-time

Onsite

Senior Level

5+ years exp

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. As a Workers’ Compensation Claims Representative, you will provide quality claim handling and superior service while managing indemnity and expense for Workers’ Compensation claims across multiple jurisdictions.

Commercial InsuranceInsurance

No H1B

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 claimsClaims managementCPCU designationGuidewire claims systemState workers' compensation lawsMicrosoft Office proficiencyCommunicationNegotiation skills

Required

5+ years of experience in a workers' compensation claims position

4-year college degree or equivalent work experience required

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