Claims Specialist IV

This position can be remote, hybrid or in-person

What You’ll Do

• Own the full claim lifecycle: Investigate, evaluate, negotiate, and resolve lost time workers’ compensation claims within designated settlement and reserving authority


• Analyze complex exposures: Assess compensability, medical, legal, and indemnity factors while proactively managing risk and claim cost drivers


• Navigate jurisdictional requirements: Ensure compliance with state-specific WC laws, litigation processes, and regulatory guidelines


• Strategically manage claims: Develop and execute resolution strategies, including collaboration with defense counsel, medical providers, and vendors


• Exercise advanced judgment: Handle a high-exposure, complex caseload with a high degree of autonomy and limited supervision


• Develop others: Design and deliver training sessions, research materials, and technical guidance for less experienced adjusters


• Serve as a subject matter expert: Provide leadership in best practices, reserving, settlement strategy, and claim handling excellence

What Sets This Role Apart

• Complex, high-impact caseload: Manage litigated and non-litigated lost time claims requiring deep technical expertise 


• Expanded authority: Settlement and reserving authority aligned with your experience and demonstrated capabilities


• Influential role: Shape claim outcomes and elevate team performance through mentorship and knowledge sharing


• Cross-functional exposure: Regular collaboration with legal, medical management, underwriting, and risk partners