Berkley

Claims Representative III

Location Name NC, Charlotte - 2127 Ayrsley Town Blvd
ID
2020-4392
Date Posted
2 months ago(11/13/2020 9:25 AM)
Company
Berkley Key Risk Management
Primary Location
US-NC-Charlotte
Loc2
Maryland
Loc3
Virginia
Loc4
South Carolina
Loc5
NC, Greensboro - 7823 National Service Road
Loc6
Pennsylvania
Category
Claims

Company Details

Key_Risk_Logo

In workers compensation, Responsiveness Matters. With over 30 years of expertise and 100% focus on workers compensation, Key Risk works with employers to create solutions specific to their needs. With an innovative approach to workers compensation, we create value through the relationships we develop, businesses we support and people we protect.

Employers who partner with Key Risk are provided dedicated risk management expertise and automatic access to workplace safety resources. In the event of an injury, our claims management approach provides employers with efficient claim handling, jurisdictional expertise and industry-leading results.

Our mission is to deliver innovative and responsive workers compensation solutions that provide our clients the freedom to do what they do best.

The Key Risk difference is Our Team.  Our associates are our greatest resource and define who and what we are, as well as what we can become.  We attract, select and retain people who are experts in their field.  We promote the growth and success of each associate through an ongoing commitment to innovation, continuous improvement and education.

Responsibilities

Key Risk is looking for a claims professional who enjoys analysis and management of workers compensation claims. 

 

Principle Responsibilities

  • Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
  • Negotiate settlement of claims up to designated authority level and makes claims payments.
  • Calculates and assigns timely an appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
  • Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
  • Prepares necessary state filings within statutory limits.
  • Actively manages the litigation process; ensures timely and cost-effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
  • Frequently communicates with all appropriate parties involved with the claim.
  • Maintains professional client relationships.
  • Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.

Qualifications

  • Bachelor’s Degree
  • 2-3 years of workers compensation claims experience
  • Adjuster license strongly desired or ability to obtain license within six months
  • Moderate knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific.
  • Strong verbal and written communication
  • Strong interpersonal, time management and organizational skills.
  • Strong negotiation skills.
  • Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
  • Ability to perform with a sense of urgency.
  • Ability to work both independently and within a team environment.
  • Ability to travel for business purposes, approximately less than 10%.

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