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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.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
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
Tools & Technologies
Microsoft OfficeExcelWord
Industry Keywords
claims lifecycleevidence preservationdefense counsel directionindependent adjusterspre-trial settlementlarge account management
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”