Workers Comp Claims Specialist
Posted 2026-05-05
Remote, USA
Full-time
Immediate Start
- Job Description:
- Manages a large inventory of complex claims to evaluate compensability/liability.
- Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages.
- Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority.
- May attend arbitrations, mediations, depositions, or trials.
- Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
- Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
- Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
- May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
- Requirements:
- Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
- Generally, a minimum of 9 years of experience in property and casualty claims handling
- Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
- Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge.
- Demonstrates excellent analytical, negotiation, and problem-solving skills.
- Maintains strong knowledge of insurance policies, coverage, and claims handling procedures.
- Maintains knowledge of industry laws and regulations.
- Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims.
- Proven ability to handle confidential information with discretion.
- Benefits:
- medical, dental, and vision coverage
- wellness plans
- parental leave
- adoption assistance
- tuition reimbursement
- Paid Time Off
- paid holidays
- 401(k) plan with company match
- employee stock purchase plan
- commuter benefits