Senior Claims Examiner, Workers' Compensation

In this role, you’ll manage Workers' Compensation indemnity claims, ensuring they’re handled with care and precision. You’ll oversee complex claim issues, leveraging your expertise in litigation management and lien resolution to achieve fair outcomes. Your day-to-day will involve maintaining accurate claim diaries, updating reserves, and ensuring timely reporting to key stakeholders. You’ll also collaborate with legal teams, identify opportunities for subrogation, and work closely with clients to maintain satisfaction.

Additionally, you’ll:

• Prepare and attend file reviews to ensure claims are progressing effectively.
• Negotiate settlements and resolve outstanding liens.
• Monitor and guide defense attorneys to achieve optimal outcomes.
• Ensure compliance with all regulatory requirements and deadlines.

Required: High school diploma and 5 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. Extensive knowledge of accepted industry standards and practices. Computer experience with related claims and business software.

Preferred: Bachelor's degree preferred.

Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.