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Workers Compensation Claims Specialist

extra holidays
Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 
Iowa (USA), United States

Offer summary

Qualifications:

5-7 years Workers Compensation experience, In-depth knowledge of insurance regulations, Proficient in Microsoft Office suite, Ability to manage multiple tasks under urgency, Bachelor's degree preferred.

Key responsabilities:

  • Investigate and handle complex claims swiftly
  • Negotiate settlements and manage litigation cases
  • Confer with internal teams for strategy input
  • Provide mentorship for claims department staff
  • Conduct settlement conferences and legal depositions
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Berkley SME https://berkley-bts.com/
201 - 500 Employees
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Job description

Company Details:

Continental_Western_Logo

 

Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.

 

As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard & Poor’s Financial Rating of A+ (Strong).

 

This role is would ideally be based in one of our three offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.  

  • Urbandale, IA
  • Lincoln, NE
  • Luverne, MN 

Alternatively, this position can be fully remote but only for a colleague living in the CWG regional footprint (states: WY, CO, ND, SD, NE, KS, MN, IA, MO, IL, WI, IN and MI). 

 

The Company is an equal employment opportunity employer.   #LI-AV1  #LI-Remote

Responsibilities:

As a Workers Compensation Claims Specialist, you will investigate and handle high severity and/or complex workers compensation claims in a prompt, equitable manner by analyzing coverage, liability and damages, evaluating reserves, negotiating settlement or conclusion of claims.  This will include handling litigated cases. You'll also have the opportunity to travel for mediations and trials as necessary.

 

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities 
  • Visibility to senior leaders and partnership with cross functional teams
  • Opportunity to impact change
  • Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

  • Investigate loss, evaluats exposures, establish accurate reserves and manages defense and settlement or conclusion of high severity and/or complex claims.  Re-evaluate exposures and reserves during the life of the claim.  Correctly enter claim data into claim and related systems for reporting purposes.  Confer with Claims Supervisors, Claims Manager and Home Office Claims staff to inform, solicit input and strategize.  Utilize Claims staff to assist with investigation.  Coordinate investigation with Subrogation and Arbitration Units.
  • Select appropriate outside legal counsel to coordinate the defense of each suit.  Strategize and evaluate, with assistance of outside defense counsel, to determine direction of defense, e.g., defend to conclusion; compromise, or negotiate a fair and equitable settlement.  Assign tasks, sets completion dates and establishes costs. 
  • Provide technical advice, direction and mentoring to the Claims Department staff on high severity and/or complex commercial casualty claims.  Attend settlement conferences, depositions, preliminary hearings and trials when advisable.
  • Perform other related duties as assigned by management.
Qualifications:

What you need to have:

  • Five to seven years Workers Compensation claims experience and/or training; or equivalent combination of education and experience
  • In-depth knowledge of insurance coverages, laws and regulations
  • Organize, prioritize and manage multiple tasks in a fast-paced environment
  • Operate with a sense of urgency and professionalism when responding to inquiries from customers
  • Proficiency with Microsoft Word, Excel, Outlook and PowerPoint
  • Ability to travel approximately two days per month
  • Valid driver’s license

What makes you stand out:

  • Bachelor’s Degree preferred but not required
  • Possess strong customer orientation, problem analysis and problem resolution skills
  • Interpersonal and communication skills
  • Communicate effectively with all levels of the organization; and effectively manage a project and/or lead a team
  • Completion of or working toward AIC, CPCU SCLA or similar designation
Additional Company Details: We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details: Sponsorship not Offered for this Role

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Microsoft Outlook
  • Social Skills
  • Analytical Skills
  • Microsoft Excel
  • Microsoft PowerPoint
  • Time Management
  • Organizational Skills
  • Verbal Communication Skills
  • Microsoft Word

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