Seneca Resources Company, LLC · 14 hours ago
Sr. Claims Examiner
Virginia, United States
Contract
Hybrid
Senior Level
$35/hr - $45/hr
7+ years expSeneca Resources Company, LLC is a staffing and consulting firm that partners with various organizations to provide career opportunities. They are seeking an experienced Senior Claims Examiner to manage complex Workers’ Compensation claims, ensuring compliant and equitable claims resolution while collaborating with various stakeholders.
Oil & Energy
No H1B
U.S. Citizen Only
Responsibilities
Investigate, evaluate, and manage Workers’ Compensation claims from low to high complexity, including catastrophic and litigated cases exceeding $2M in total exposure
Ensure compliance with the Virginia Workers’ Compensation Act, including timely filing of FROIs and SROIs
Determine compensability, establish reserves, and authorize medical and indemnity payments within delegated authority
Conduct investigations, gather evidence, interview witnesses, and document findings thoroughly
Coordinate medical management, review medical records, and collaborate with treating providers to support return-to-work and transitional duty programs
Manage litigation activities, including working with counsel, attending hearings, depositions, and providing testimony as needed
Serve as a key liaison among injured employees, supervisors, HR, payroll, employee health, safety teams, and external partners
Negotiate settlements, manage subrogation efforts, and oversee vendor performance (adjusters, medical, vocational, investigative)
Identify trends and partner with safety and injury prevention teams to reduce workplace risk
Support additional claims activities such as bill review negotiations, OSHA reporting, risk assessments, and insurance renewal support
Demonstrate accountability, professionalism, and commitment to safety, equity, and high-reliability practices
Qualification
Required
Minimum 7 years of progressively responsible Workers' Compensation claims adjudication or equivalent experience
In-depth knowledge of Virginia Workers' Compensation laws and procedures
Proven ability to manage high-complexity and litigated claims independently
Strong investigation, negotiation, analytical, and decision-making skills
Experience with medical management and return-to-work coordination
Proficiency with Microsoft Office (Word, Excel, Outlook)
Ability to manage multiple priorities, work independently, and adapt in a fast-changing environment
Excellent written, verbal, and interpersonal communication skills
High School Diploma or GED required
U.S. Citizen or Green Card Holder
Preferred
Experience handling general liability, auto liability, or property & casualty claims
Prior lead, senior, or supervisory claims experience
Background in risk management, healthcare, or legal environments
Associate's or Bachelor's degree in Business, Finance, or a related field
Benefits
Comprehensive health, dental, and vision coverage
401(k) retirement plans
Company
Seneca Resources Company, LLC
Seneca Resources Company, LLC, the exploration and production segment of National Fuel Gas Company, headquartered in Houston, Texas, explores for, develops, and produces natural gas in the Appalachian Region including the Marcellus and Utica Shales.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
John McGinnis
Chief Operating Officer
Todd Abbott
Chief Operating Officer
Company data provided by crunchbase