Senior Claims Specialist

Company Details

Berkley Industrial Comp provides best in class workers' compensation insurance solutions to high hazard industries. BIN's mission is to provide an unparalleled customer experience within the high hazard workers' compensation market.

BIN achieves its mission by focusing on the following core values :

• Integrity - character without compromise
• Agility - flexible and collaborative
• Expertise - knowledge and skill
• Ingenuity - solution and future focused
• Tenacity - responsiveness with a high degree of determination

Company URL : www.berkindcomp.com

The company is an equal opportunity employer.

Responsibilities

This position is responsible for managing both lost time and med only claims across multiple jurisdictions up to $250,000 in exposure.

This includes investigation, evaluation, and resolution of claims. Interface with underwriting, risk management, case management, clients, and vendors as appropriate in controlling costs and loss ratios and providing the claimant with appropriate care.

Provide leadership within the claims department.

Key functions include but are not limited to :

• Oversee claims up to $250,000 in exposure.
• Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Verify and interpret coverage issues.
• Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
• Resolve problems involving multi-faceted claims handling.
• Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
• Determinate appropriate reserves to adequately reflect exposure of losses.
• Attend and participate in training sessions to the accounts or account visits and claim reviews.

Qualifications

• Bachelor's degree with concentration in criminal justice, public administration, business, nursing or insurance OR equivalent work experience.
• Experience across multiple jurisdictions preferred.
• Five (5) years' minimum of experience adjusting workers' compensation claims with significant experience handling Workers' Compensation claims.

Ten (10) years' experience preferred.

• Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
• Strong interpersonal, analytical, and negotiation skills.
• The Company is an equal employment opportunity employer.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role;

the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role