Employer's Liability Claims Representative

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage liability claims directly, with a focus on employers' liability claims under Part B of a conventional Workers’ Compensation Policy.

• Oversee a portfolio of litigated and intricate liability claims associated with business owner policies.

• Evaluate coverage matters under Workers Compensation and Businessowners coverage forms, including standard industry forms and endorsements.

• Investigate, analyze, and assess new loss notifications and claim submissions.

• Accurately position claims in accordance with applicable coverage.

• Collaborate to establish suitable claim reserves.

• Utilize sound judgment in managing ALAE throughout the claims investigation process.

• Document claim files according to set guidelines.

• Develop strategies for claims resolution while maintaining regular communication with stakeholders.

• Prepare coverage letters.

• Assess claims and maintain frequent communication with attorneys and other involved parties.

• Acquire and retain adjuster licenses as required.

⛳️ Requirements

• Excellent analytical abilities.

• Strong verbal and written communication skills, including proper grammar and the ability to convey information clearly and concisely.

• Exceptional interpersonal skills.

• Knowledge of complex medical injuries, including records review and treatment plans.

• Capability to work independently and meet designated deadlines.

• Ability to respond to inquiries promptly and with a sense of urgency.

• Capacity to collaborate effectively with others.

• Proficiency in multitasking and managing interruptions efficiently.

• Ability to adhere to instructions and established procedures.

• Proficient in MS Word, Excel, Microsoft applications, and internet applications.

• High level of attention to detail.

• Ability to perform under pressure and exercise sound judgment in sensitive situations.

• BA/BS degree with a minimum of 5 years of experience, or a Juris Doctorate with at least 3 years of experience.

• CPCU or other industry designation is advantageous.

• State adjuster license is mandatory.

• Minimum of 3 years of prior experience in general liability or workers' compensation claims adjusting is required.

🏝️ Benefits

• Medical (PPO/HDHP), vision, disability, and life insurance.

• Enhanced dental plan featuring orthodontia coverage in addition to a standard plan.

• Generous paid time off plan for all benefit-eligible employees.

• Paid company holidays and 4 additional floating holidays.

• Paid parental leave.

• Employee Retirement Savings Plan/401(k) with company match and immediate vesting.

• Education Assistance Program offering 100% tuition reimbursement upfront after 6 months of service for approved degree programs.

• Service Recognition Program providing a monetary award towards a vacation every 5 years of employment.

• Wellness initiatives including Fitness Center and Weight Watchers Reimbursement programs.

• Voluntary accident, critical illness, and hospital indemnity benefits.

• Employee discount and rewards program on travel, tickets, electronics, home goods, and more.