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Acadia Insurance (a Berkley Company) · 23 hours ago

Senior Workers' Compensation Claims Representative

Rocky Hill, CT

Full-time

Onsite

Mid, Senior Level

$80K/yr - $110K/yr

7+ years exp

Acadia Insurance is a regional property casualty insurer and a member of W.R. Berkley Corporation, known for its financial strength and integrity. The Senior Workers' Compensation Claims Representative will investigate, evaluate, and resolve claims while ensuring compliance with company standards and state regulations.

Commercial InsuranceInsurance

No H1B

Responsibilities

Investigate, evaluate and resolve assigned claims in accordance with company standards, procedures, and state regulatory requirements

Analyze and determine specific facts of loss to reach appropriate decisions and effectively communicate the company’s compensability decisions

Compose a variety of other written communications to insureds, claimants, attorneys and agents in a professional and error-free manner

Conduct detailed, comprehensive claim investigations including possible on-site scene examinations and in-person witness interviews when appropriate and necessary

Evaluate and document exposure to ensure accurate and timely reserves; immediately escalate to management cases with significant exposure

Negotiate effectively and in good faith to achieve fair and accurate claim settlements

Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or hearing decisions, as appropriate

Retain vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses

Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service

Effectively present cases in roundtable discussions with peers and members of management at all levels

Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications

Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia’s business

Maintain a strong relationship and frequent communication with Acadia’s agency partners

Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process

Attend internal and external seminars and other training events and provide feedback to peers and/or members of management

Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements

Pursuit of industry-related professional designations is encouraged

Perform other duties as assigned

Qualification

Workers' Compensation claimsClaims resolutionNegotiation skillsAdvanced insurance courseworkComputer skillsJudgmentOrganizational skillsWritten communicationVerbal communicationTeamwork