Technical Claims Specialist, Workers Compensation
Core
Investigates workers' compensation claims to determine coverage, establish compensability, verify exposure, and manage litigation and settlement strategies.
Role type
Senior IC claims specialist (workers' compensation)
Builds
Resolved claims, accurate reserves, and litigation outcomes for LMG and LMG Insureds
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
claims investigation, reserve estimation, litigation management, subrogation handling, Medicare Set Aside (MSA) exposure management, negotiation, data analysis, policyholder communication, staff training
Preferred skills
complex claims experience, pricing and reserving strategy discussions
Technologies
Excel, PowerPoint
Responsibilities
Investigate claims to determine coverage and compensability; establish and maintain accurate reserves; manage litigated files with defense counsel; handle suspicious claims and third-party subrogation potential; prepare for and attend mediation/settlement conferences; confer with policyholders on coverage strategy; coordinate training for less experienced staff.
Seniority
Mid-to-Senior, hands-on IC