Workers Comp Claims Representative

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Company Details

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. With the resources of a large Fortune 500 corporation and the ability to operate with the closeness and flexibility of a small company, we exclusively work with select independent agents to ensure the future of business.

The company is an equal opportunity employer.

• As a Workers’ Compensation Claims Representative
  , you will play a critical role in maintaining these standards by providing quality claim handling and superior service to our customers, while also engaging in indemnity and expense management.
• 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.

• 5+ years of experience in a workers’ compensation claims position
• CPCU, SCLA or AIC designation is a plus.
• Working knowledge of current state and local workers’ compensation laws preferred
• Experience in handling multiple jurisdictions is a plus
• 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.
• Experience with Guidewire claims management system is a plus.
• 4-year college degree or equivalent work experience required.

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, the credentials and experience of the candidate; and other conditions of employment.

Sponsorship not Offered for this Role

• Seniority level:
  Associate
• Employment type:
  
  Full-time
• Job function:
  Finance and Sales
• Industries:
  Financial Services and Insurance

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