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Senior Claims Specialist – Worker's Compensation
EPIC Insurance Brokers & ConsultantsSenior Claims Specialist managing the full lifecycle of Workers’ Compensation claims at EPIC Brokers. Focused on analysis, client relations, and driving efficient claim outcomes.
About the role
Key responsibilities & impact- 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.
- 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.
Requirements
What you’ll need- 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
Benefits
Comp & perks- 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”
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Workers’ Compensation claims managementinvestigation techniquesliability evaluationdamages assessmentsubrogation identificationreport preparationcoverage applicationclaims negotiationstatutory law analysiscost monitoring
Soft Skills
independent workself-motivationadaptabilityinterviewing skillsanalytical skillsproblem-solving skillscommunication skillstime managementorganizational abilitiesconflict management