Claims Specialist
Core
Manages complex workers' compensation claims, evaluating liability, conducting 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 investigation, liability assessment, settlement negotiation, reserve analysis, policy interpretation, regulatory compliance, case prioritization
Preferred skills
Associate in Claims (AIC) designation, leadership/coaching experience
Technologies
claims management systems, legal research tools
Responsibilities
Evaluate compensability and liability for complex claims; conduct investigations to confirm coverage and determine damages; negotiate settlements and authorize payments; convey complex coverage information to insureds and claimants; maintain detailed claim files; coach staff and participate in talent decisions.
Seniority
Senior, hands-on IC with potential leadership scope
