Claims Specialist, Workers Compensation - West Region
Core
Investigates workers' compensation claims to determine liability, compensability, and damages, including engaging experts and negotiating settlements.
Role type
Senior IC claims specialist (workers' compensation)
Builds
Claim resolutions and reserve adjustments for insureds
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
claims investigation, liability determination, reserve assessment, negotiation, litigation coordination, policy coverage assessment, subrogation, mentoring
Preferred skills
industry certifications (AEI, IIA, CPCU), medical terminology knowledge, legal aspects of claims
Technologies
none stated
Responsibilities
Plan and conduct claim investigations; determine need for and engage independent adjusters and experts; assess policy coverage and establish reserves; negotiate claim settlements; coordinate litigation activities; mentor new team members; participate in quality reviews and suit committees.
Seniority
Senior, hands-on IC with mentorship duties