Senior Claims Specialist

Berkley Industrial Comp provides best in class workers’ compensation insurance solutions to high hazard industries.  BIN’s mission is to provide an unparalleled customer experience within the high hazard workers’ compensation market. BIN achieves its mission by focusing on the following core values:

• Integrity – character without compromise
• Agility – flexible and collaborative
• Expertise – knowledge and skill
• Ingenuity – solution and future focused

We believe in embracing the collective power of people committed to doing right by one another, our stakeholders, and communities.  Our core values rest at the heart of this collective effort.

https://www.berkindcomp.com/

This position is responsible for managing complex and/or catastrophic claims within all jurisdictions. This includes investigation, evaluation, and resolution of claims. Interface with underwriting, risk management, case management, clients, and vendors as appropriate in controlling costs and loss ratios and providing the claimant with appropriate care. Provide leadership of day to day activities on large loss and catastrophic claims

Key functions include but are not limited to the following:

• Oversee catastrophic and large loss claims from beginning to resolution.
• Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Verify and interpret coverage issues.
• Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
• Resolve problems involving multi-faceted claims handling.
• Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
• Determinate appropriate reserves to adequately reflect exposure of losses.
• Attend and participate in training sessions to the accounts or account visits and claim reviews.

• Bachelor’s degree with concentration in law, public administration, business, nursing or insurance OR equivalent work experience.
• 7+ years of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims. Ten (10) years’ experience preferred.
• Experience in catastrophic and/or large losses preferred.
• Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
• Strong interpersonal, analytical, and negotiation skills