Senior Claims Specialist - Worker's Compensation

EPIC Brokers$75K — $90K *
US-AnywhereRemote in Carmel, IN
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in Workers' Compensation claims management
  • Proficiency in Microsoft Office and systems navigation
  • Strong analytical and problem-solving skills
  • Effective communication and organizational abilities
  • Self-motivated with strong independent work habits
  • Able to navigate conflict and challenging claim situations
  • Willingness to travel for client and team meetings

Responsibilities

  • Manages complex Workers' Compensation claims independently
  • Conducts thorough investigations of losses including interviews and documentation
  • Evaluates liability and damages, identifying potential scams
  • Prepares concise and timely reports on claims status
  • Establishes and maintains accurate financial reserves
  • Negotiates claims and develops strategies for resolution
  • Directs legal counsel or experts as needed and monitors costs

Benefits

  • Generous Paid Time Off (22 days for hourly employees, managed PTO for salaried employees)
  • Paid parental and bonding leave, as well as pregnancy disability leave
  • Employee referral bonuses of $1,500 per hired referral
  • Employee recognition awards and programs, including potential trips
  • Professional development opportunities like mentorship and tuition reimbursement
  • Unique benefits, including Pet Insurance and Legal Planning
  • 401(k) matching and comprehensive medical, dental, and vision insurance
  • Strong emphasis on a balanced work culture
  • Involvement in community and charitable efforts through EPIC Gives Back
Full Job Description
JOB OVERVIEW:

The Senior Claims Specialist manages the full lifecycle of Workers' Compensation claims, delivering thorough investigation and analysis while developing trusted relationships with clients and stakeholders to drive efficient, high-quality claim outcomes.

LOCATION: HYBRID - Carmel, Indiana office (3 days/week in office); open to remote for highly qualified candidates.

WHAT YOU'LL BRING:
  • Proficiency in Microsoft Office (Excel, Word) and systems navigation
  • Ability to travel as needed for client meetings and team collaboration
  • Self-motivated and adaptable, with strong independent work habits
  • Effective interviewing, analytical, and problem-solving skills
  • Strong communication, time management, and organizational abilities
  • Ability to manage conflict and navigate challenging claim situations


WHAT YOU'LL DO:

A detailed list of job duties includes (but is not limited to):
  • Generally works independently, handling the most complex matters, and has settlement and draft authority of up to designated amount based on experience.
  • Conducts complete investigation of losses through any appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence.
  • Evaluates liability and damages; identifies subrogation/salvage opportunities or suspicious claims.
  • Prepares timely, concise reports as required.
  • Promptly establishes and maintains accurate reserves.
  • Verifies, analyzes and correctly applies coverage.
  • Develops strategy and negotiates claims to a timely conclusion, properly applying company and department policies and procedures.
  • Decides on conclusion of loss (e.g. pay, deny compromise) based upon analysis of the facts, liability, and statutory/case law.
  • Determines need for and provides direction to defense counsel, independent adjusters or other technical experts, and monitors and controls their costs.
  • Attends hearings, pre-trial settlement, conferences, trials, etc., as required.
  • Keeps agents, insurers, Agency OPS and Corporate Claims advised of file status and other matters as required.
  • Frequently involved in meetings or visits to agents, insurers, prospects, clients etc. and in Large Account matters.


COMPENSATION:

The national average salary for this role is $75,000-90,000 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.

WHY EPIC:

EPIC has over 60 offices and 4,000 employees nationwide - and we're growing! It's a great time to join the team and be a part of this growth. We offer:
  • Generous Paid Time off
    • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
  • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
  • Generous employee referral bonus program of $1,500 per hired referral
  • Employee recognition programs for demonstrating EPIC's values plus additional employee recognition awards and programs (and trips!)
  • Employee Resource Groups: Women's Coalition, EPIC Veterans Group
  • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
  • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
  • Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
  • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
  • EPIC Gives Back - Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
  • We're in the top 10 of property/casualty agencies according to "Insurance Journal"

To learn more about EPIC, visit our Careers Page: https://www.epicbrokers.com/about/epic-careers/.

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