Berkley

WC Sr. Claims Examiner

Berkley • $75K — $88K *
Minneapolis, MN 55407In-Person
Finance & Insurance
5 - 7 years of experience
2 months ago
Job Overview by Ladders

Qualifications

  • 5-7 years experience in workers’ compensation claims management or equivalent educational background.
  • In-depth knowledge of workers’ compensation laws in MN, IL, or WI.
  • Strong analytical skills with proficiency in math.
  • Proficient in client/server based claims processing systems and basic PC skills.
  • Exceptional communication and presentation skills for client interaction.
  • Demonstrated customer service excellence.

Responsibilities

  • Manage a challenging caseload of complex workers’ compensation claims including litigation.
  • Investigate and determine claim compensability while adhering to performance guidelines.
  • Document all claims handling activities and create actionable plans.
  • Set appropriate case reserves and manage ongoing medical treatment.
  • Identify loss trends and communicate findings to supervisors and clients.
  • Utilize an automated diary system for payments and claims management.
  • Negotiate settlements and manage subrogation claims.

Benefits

  • Comprehensive health, dental, and vision coverage.
  • Life and disability insurance included.
  • 401(k) retirement plan with profit-sharing.
  • Paid time off alongside wellness programs.
Full Job Description
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 in at least one of the following states: MN, IL or WI.
  • 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 Detailshttps://www.berkleyrisk.com/ The company offers a competitive compensation plan and robust benefits package for full time regular employees including: • Base Salary Range: $75k - $88k • Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans 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 RequirementsTravel: Occasional travel

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
Finance & Insurance
* Ladders Estimates

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