Senior Claims Specialist

Berkley • $75K — $95K *

US-AnywhereRemote in Birmingham, AL

Finance & Insurance

5 - 7 years of experience

4 days ago

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Job Overview by Ladders

Qualifications

Bachelor’s degree in law, public administration, business, nursing or insurance, or equivalent work experience.
7+ years of experience adjusting workers’ compensation claims; 10 years preferred.
Prior experience with catastrophic and/or large losses is preferred.
Must hold and maintain a professional adjusting license in applicable jurisdictions or obtain within one year.
Strong interpersonal, analytical, and negotiation skills.

Responsibilities

Oversee catastrophic and large loss claims from start to finish.
Manage all technical claims aspects, including coverage and disability benefit management.
Verify and interpret coverage issues effectively.
Consult with attorneys and assist with negotiations, mediations, and trials as needed.
Resolve complex claims handling problems efficiently.
Investigate, evaluate, and negotiate claims towards resolution while addressing medical needs within guidelines.
Determine appropriate reserves to accurately reflect loss exposure.

Benefits

Comprehensive training sessions and account visits to enhance skills.
Engagement with external stakeholders such as clients and vendors to establish effective communication.

Full Job Description

Responsibilities

This position is responsible for managing complex and/or catastrophic claims within all jurisdictions. 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 of day to day activities on large loss and catastrophic claims

Key functions include but are not limited to the following:

Oversee catastrophic and large loss claims from beginning to resolution.
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 law, public administration, business, nursing or insurance OR equivalent work experience.
7+ years of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims. Ten (10) years’ experience preferred.
Experience in catastrophic and/or large losses 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

Additional Company DetailsWe 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 DetailsSponsorship not Offered for this Role

About Berkley

Berkley is a packaging company that develops innovative solutions to help our customers sell more product and be on the edge. Berkley offers the cost advantages and creative control of an in house/on site agency without the risk and hassle of oversight. Berkley develops turnkey retail environments – including design, manufacturing and installation services.

Berkley Careers

Joining Berkley presents a prime opportunity to be part of a team renowned for its leadership in the industry, fostering innovation and growth. Berkley, a company committed to professional excellence and diversity, offers a range of job opportunities that cater to various skills and career aspirations.

Explore Job Opportunities

Berkley is actively hiring, seeking individuals who are passionate, driven, and ready to contribute to a dynamic team environment. With a variety of positions available, Berkley provides a platform for professionals at every stage of their career, from entry-level to senior leadership roles.

Internship Programs

Kickstart a career with Berkley through comprehensive internship programs designed to provide hands-on experience in a real-world setting. Internships at Berkley are a gateway to full-time employment, offering invaluable industry exposure and networking opportunities.

Professional Growth and Development

Berkley is dedicated to the continuous professional development of its team members. The company supports career advancement through leadership training programs, workshops, and seminars that enhance skills and foster innovation.

Diversity and Inclusion

At Berkley, diversity is celebrated and actively promoted through various initiatives and diversity training programs. The company believes that a diverse workforce is key to driving creativity and innovation.

Benefits and Culture

Employees at Berkley enjoy a range of benefits designed to support their professional and personal lives. The company culture emphasizes teamwork, respect, and integrity, creating an environment where everyone can thrive.

Applying for a Position

To apply for a position at Berkley, candidates are encouraged to submit a resume that highlights relevant experience and skills. The interview process is designed to assess not only professional qualifications but also a candidate's fit with Berkley's culture and values.

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Learn more about Berkley

Size

51 employees

Industry