Senior Workers Comp Claims Specialist

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

📋 Description

• Oversee a substantial inventory of intricate workers’ compensation claims while assessing compensability and liability.

• Conduct thorough investigations of claims to verify coverage and ascertain liability, compensability, and damages.

• Evaluate and negotiate claim settlements and reserves within designated authority.

• Participate in arbitrations, mediations, depositions, or trials as necessary.

• Communicate complex coverage and settlement details to insureds, claimants, and external partners.

• Approve payments within assigned authority limits and ensure prompt disbursement.

• Maintain precise and detailed claim files, correspondence, reports, and settlement agreements.

• Possibly mentor staff and engage in talent selection, development, and performance management decisions.

• Execute other duties as assigned.

⛳️ Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field, or equivalent experience.

• At least 13 years of experience in handling property and casualty claims.

• Completion of or ongoing progress towards a professional designation such as Associate in Claims (AIC) is preferred.

• Experience with California workers’ compensation is preferred.

• Capacity to operate at the highest authority limits on assignments with the utmost technical complexity and coordination.

• Strong analytical, negotiation, and problem-solving abilities.

• In-depth understanding of insurance policies, coverage, and claims handling procedures.

• Familiarity with industry laws and regulations.

• Advanced skills in organizing and prioritizing caseloads for timely claim resolution.

• Exceptional interpersonal and communication skills.

• Ability to establish relationships and lead negotiations.

• Capability to manage confidential information with discretion.

• Subject matter expertise within the company, potentially functioning at a peer level to management.

• Must have authorization to work in the United States without current or future employment visa sponsorship.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Wellness plans.

• Parental leave.

• Adoption assistance.

• Tuition reimbursement.

• Paid Time Off.

• Paid holidays.

• 401(k) plan with company match.

• Employee stock purchase plan.

• Commuter benefits.