Key Risk (a Berkley Company) · 2 months ago
Claims Representative II
Mississippi, United States
Full-time
Onsite
Entry, Mid Level
2+ years expKey Risk is a company with over 35 years of expertise in the workers' compensation industry, delivering innovative solutions to clients. They are seeking a claims professional to analyze and manage workers' compensation claims, negotiate settlements, and ensure timely resolution of claims.
Insurance
No H1B
Responsibilities
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
Calculates and pays benefits due; 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
Prepares necessary state filings within statutory limits
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
Maintains professional client relationships
Actively executes appropriate claims activities to ensure consistent delivery of quality claims services
Qualification
Required
BA/BS Degree
2-3 years of workers compensation claims experience
Adjuster license strongly desired or ability to obtain license within six months
Knowledge of appropriate insurance principles and laws of workers' compensation, preferably jurisdiction specific
Strong verbal and written communication
Strong interpersonal, time management and organizational skills
Strong negotiation skills
Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail
Ability to perform with a sense of urgency
Ability to work both independently and within a team environment
Ability to travel for business purposes, approximately less than 10%
Benefits
Competitive compensation plan
Robust benefits package for full time regular employees
Company
Key Risk (a Berkley Company)
Key Risk (a Berkley Company) is a leading provider of workers compensation insurance products & services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Travis Moose
Senior Vice President & Chief Marketing Officer
Greg Tardy, CPCU, ARM
Chief Underwriting Officer
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