16470- Senior Workers’ Compensation Claims Specialist - AZ - On Site
Core
Lead comprehensive investigations of complex workers' compensation claims, providing strategic recommendations to adjusters and advising clients on risk mitigation.
Role type
Senior Workers' Compensation Claims Specialist
Builds
Strategic claim resolutions and risk mitigation strategies for multi-state clients
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Workers' compensation law interpretation, claims investigation, compensability analysis, medical review, reserve setting, litigation risk assessment, return-to-work program optimization, data analysis, settlement negotiation
Preferred skills
Actuarial impact analysis, trend evaluation, loss forecasting, advanced Excel skills
Technologies
Claims software, medical management systems, Microsoft Excel
Responsibilities
Lead investigations of complex claims including coverage analysis and medical review; Evaluate TPA requests for reserve and settlement authority; Advise clients on proactive strategies to mitigate future loss; Support clients in developing and optimizing return-to-work programs; Mentor and support junior claims staff
Seniority
Senior, hands-on IC with mentorship duties
