Senior Claims Specialist
Core
Manages a large inventory of highly complex workers' comp claims, evaluating compensability/liability, orchestrating investigations, and negotiating settlements.
Role type
Senior IC claims specialist (workers' comp)
Builds
Claim resolutions and settlements for workers' comp policyholders
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Complex claims analysis, liability determination, settlement negotiation, reserve management, policy interpretation, regulatory compliance, case prioritization, staff coaching
Preferred skills
Professional designation (AIC), jurisdiction knowledge (PA, MD, DC, VA, DE)
Technologies
Claims management systems
Responsibilities
Evaluate compensability and liability for complex claims; orchestrate comprehensive claims investigations; negotiate claim settlements and reserves; convey complex coverage information to insureds and claimants; authorize payments within assigned authority limits; maintain accurate claim files; coach and develop staff members
Seniority
Senior, hands-on IC with potential peer-level influence
