Berkley

Claims Professional

Location Name NC, Greensboro - 7823 National Service Road
ID
2021-5987
Date Posted
2 months ago(10/15/2021 5:47 PM)
Company
Berkley Key Risk Management
Primary Location
US-NC-Greensboro
Loc2
PA, Harrisburg - 4811 Jonestown Road
Loc3
Tennessee
Category
Claims

Company Details

Key_Risk_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, 2017 and most recently in 2021.

 

Click here to learn more about working at Key Risk.

Responsibilities

The Claims Professional is responsible for the analysis and management of workers’ compensation claims for assigned clients, including minor and complex claims.  This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims.  The position will process and document claims to ensure compliance with company standards, industry best practices, and legislative provisions. Acts in a fiduciary role on behalf of policyholders and negotiates claim settlements. Claims Professionals conduct the handling of claims in the utmost of good faith in compliance with the rules, regulations and state statutes. Experience and the degree to which a claim professional can work independently to make sound decisions, reserve recommendations and drive outcomes will determine the hiring position, ranging from a Claim Representative I to a Senior Claim Representative. The Claims Professional is expected to function with a high degree of competency and independence. The use of sound judgment coupled with strong technical claim handling skills and consistent results are expected. 

 

Key functions include but are not limited to the following:  

  • 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 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
  • 2-10 years of workers compensation claims experience
  • 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%.

Additional Company Details

The Company is an equal employment opportunity employer.

Additional Requirements

COVID-19 vaccine required unless prohibited by law.

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