Berkley

  • Senior Claims Representative

    Location Name MD, Baltimore
    ID
    2018-2115
    Date Posted
    2 months ago(11/27/2018 4:21 PM)
    Company
    Berkley Key Risk Management
    Primary Location
    US-MD-Baltimore
    Category
    Claims
  • Company Details

    KR Logo

    Key Risk, a member of Berkley Insurance Company, is a leading provider of workers compensation insurance products and services for employers throughout the eastern United States. With a sole focus on workers compensation, Key Risk works with Key Alliance agents, insurance clients, self-insured employers, and the injured workers they support to create solutions specific to their needs. Enriching each client's risk management strategies, Key Risk creates and executes comprehensive solutions proven to protect people, support business, and exceed expectations.

     

    Committed to delivering better outcomes and industry leading service, Key Risk operates from headquarters in Greensboro, NC and through regional offices and territory-dedicated staff in the states of Pennsylvania, Maryland, Virginia, North Carolina, South Carolina, Tennessee, Alabama and Georgia. This regional approach provides agents and clients with the benefit of working with experts who have first-hand knowledge of the local workers compensation market.

     

    Key Risk is committed to fostering a professional work environment for all its employees. Through an ongoing commitment to innovation, continuous improvement and education, Key Risk attracts and retains associates with a unique blend of workers compensation expertise and a passion for excellence. We are proud to have been recognized among Business Insurance's Best Places to Work in 2009, 2011, 2015, and most recently in 2017.

     

    Click here to learn more about working at Key Risk.

    Responsibilities

    PRIMARY PURPOSE:       

    Responsible for technical file management of workers’ compensation claims and account management.  Requires frequent interaction with the account’s designated contact, case managers, medical providers, claimants and attorney.  Will be required to manage a variety of cases ranging from minimal to high exposures as assigned. The role will be a work from home opportunity. 

    Qualifications

    QUALIFICATIONS:

    • Possess a four-year college degree or equivalent work experience. Course work in business law and insurance is desirable.Approximately three to five (3 – 5) years' experience in adjusting workers' compensation claims.
    • Demonstrate well-developed oral and written communication skills.
    • Demonstrates evidence of self-motivation.
    • Exhibit well defined interpersonal skills.
    • Maintain a current adjuster's license in jurisdictions assigned.

    PRINCIPLE RESPONSIBILITIES/DUTIES:

    Client Management

    • Assume responsibility for account management while working closely with CSE if assigned; recognize unfavorable trends and inform management.
    • Participate in client meetings for training on claims issues and assist with claims service meetings for new accounts as requested.
    • Analyze and work with Underwriting and Risk Management to develop pro-active plans to correct unfavorable trends with existing clients. Report to management, Underwriting and Risk Management unsuccessful attempts to reverse unfavorable actions and adverse conditions.

    Claims Management

    • Conduct the required investigation on all workers' compensation claims assigned.
    • Handle all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
    • Maintain and demonstrate knowledge of the Workers' Compensation Act and Rules and Regulations in the jurisdictions assigned.
    • Immediately notify management of large exposures and comply with reinsurance reporting requirements.
    • Monitor expenses and effectiveness of inside/outside vendors.
    • Attend mediations as needed.
    • Attend client visits and claim reviews as needed.

    Client Service Infusion

    • Promote exceptional service by identifying interaction opportunities, taking ownership of client results, providing high quality service, meeting response time standards, using judgment and building from both the small and large successes. 
    • Enhance communications by being proactive, engaging in active listening, asking questions to determine underlying needs, and stopping and analyzing the situation; learn from problems and implement individual strategies for the future. 
    • Know and exceed client expectations; get to know our clients, understand situations from the client’s perspective, and deliver solutions specific to the client’s needs.
    • Create a team approach by leveraging the culture of trust and openness, and taking responsibility for keeping the team informed and closing the loop
    Other duties as assigned by supervisor

    Professionalism

     

    • Must exhibit professional behavior at all times while representing or being identified as an employee of KRMS.
    • Demonstrate the use of tact and discretion in all communications and provide a positive contribution to the morale of the department.
    • Establish and maintain effective working relationships with clients, providers, and other departments of KRMS.
    • Participate in 24-hour call-in duty for catastrophic injuries as needed.
    • Coordinate special projects as delegated.

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