Company Details
We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment.
Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper.
This capability allows us to customize both an insurance company option and a purely administrative option for our customers.
Responsibilities
Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims.
Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.
- Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
- Document claim handling activities; create and document action plans.
- Establish appropriate case reserves.
- Actively manage medical treatment and disability while assisting the injured worker to return to work.
- Comply with all performance guidelines.
- Identify loss trends and communicate to supervisor and / or clients.
- Use automated diary system to issue indemnity payments and for claims management
- Investigate and manage claim subrogation and negotiate settlements.
- Manage coverage B or conflict of interest cases as assigned.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Participate in client claim reviews when scheduled or requested
May perform other functions as assigned
Qualifications
- Demonstrated working knowledge of workers’ compensation administration rules / laws.
- Excellent communication and presentation skills.
- Must be able to interface with clients, legal counsel, health care professionals, etc.
- Good math and analytical ability.
- Excellent customer service skills.
- Basic PC skills and a working knowledge of Windows environment. Experience with a client / server based claims processing system.
Education
BA / BS degree with three years’ experience. Experience must include litigation, subrogation and complex medical / legal issues or two years post-high school education and five years’ experience in workers compensation claims management.
Additional Company Details
The Company is an equal employment opportunity employer
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
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.
Additional Requirements
Travel : Occasional travel
Sponsorship Details
Sponsorship not Offered for this Role
WC Sr. Claims Examiner
Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims. Investigate claims and make appropriate decisions regarding claim compensability and general clai...
CAT Field Claims Specialist
Claim Specialists assigned to Homeowner/CAT claim unit handle claims valued over $25,000 (for the inside desk role) and over $100,000 (for field role). When handling claims in the field, must prepare damage estimates using claims software. Work under minimal supervision with a high-level approval au...
Property Field Claims Adjuster (Minneapolis/St Paul, MN)
Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. At American Family Insurance Claims Services (AFICS, Inc. You will work in the fie...
Subrogation Claims Specialist
Investigate and resolve claims when correspondence sent through the post office is returned. Report claims to the at-fault party's insurance and documents their claim information. Properly document claims, and manage claim workflow, subrogation notes and subrogation statuses to provide customers and...
Commercial Claims Adjuster - Carrier or TPA - REMOTE
Property & Casualty (P&C) Claims Adjuster. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liabi...
Field Claims Adjuster
Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Planning and organizing daily workload to process claims and conduct inspecti...
Claims Clinical Specialist – Medical Review Team
Claims Clinical Specialist – Medical Review Team. The Claims Clinical Specialist role is an excellent opportunity for a Registered Nurse seeking a career change. You will be responsible for working within a structured environment with established Standard Operating Procedures to ensure consistency o...
(Agile) Claims Examiner - General Liability / Litigation | Greater Minneapolis Area
Agile) Claims Examiner - General Liability / Litigation | Greater Minneapolis Area. To analyze high-level commercial general liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices,...
Senior Workers Compensation Claims Adjuster
Role specifics: - Jurisdictions: Minnesota - Licenses: WC or All-Lines - Location: This role is eligible for fully remote work How you'll make an impact • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately res...
Senior Commercial Auto Adjuster
Commercial Auto Claims Adjuster. Our client, a nationwide insurance carrier is looking to add multiple Senior Commercial Auto Adjusters to their staff. Experience handing complex litigated claims. ...