Claims Specialist

• Handle moderate to complex claims with minimal supervision and guidance from the manager.
• Utilize current Claims technology.
• Research and formulate a basis on which coverage decisions will be made, conduct thorough investigations, evaluate damages and liability.
• Negotiate settlements with insureds, claimants and attorneys.
• Responsibilities also include active file management, ensuring proper reserving, participation in training activities, presentation of claims to Committee and supervision of litigated files.
• Serve as a mentor for others in the team or department.
• Consistently exhibit a high level of customer service and adherence to department audit guidelines.

Senior Claims Representative – Workers Compensation

Claims Representative I – Workers Compensation Medical Only