Workers' Compensation Claim Consultant
Core
Plan, recommend, reserve, and execute investigation of high exposure workers' compensation claims greater than $100,000, including valuation, disposition, and settlement.
Role type
Senior IC workers' compensation claims consultant
Builds
Claim settlements and reserve valuations for high-exposure workers' compensation cases
Domain
Insurance / Workers' Compensation
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
high exposure claims management, indemnity and expense exposure assessment, reserve setting, litigation management, subrogation and salvage recovery, stakeholder negotiation, conflict resolution, trend analysis, staff training, MS Office proficiency
Preferred skills
thought leadership, advanced expertise in solving complex problems, influencing positive outcomes
Responsibilities
Assess indemnity and expense exposure of assigned claims, manage the most complex workers compensation claims, plan and organize claim priorities and completion dates, set appropriate and timely reserves, identify and initiate mitigation and recovery opportunities, maintain interaction with Agents, Brokers & Policyholders, manage litigation, assist with staff development and training, approve authorities for handlers in TL absence, track trends to improve metrics
Seniority
Senior, hands-on IC
