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As a strategic partner, the HR Generalist works with the Vice President of Human Resources (VP HR) and Operating Unit Leadership to align and support the VP HR with the execution of the talent strategy and operating unity strategic initiatives. This role works closely with Leadership and Group HR to consult, provide advice and guidance as it relates to talent-related activities including but not limited to: recruitment and selection, staff retention, performance management, talent development, compensation planning and employee relations.
The HR Generalist fulfills the primary responsibilities of the role by executing the following duties and tasks:
- Consults and counsels with leaders on performance management, talent development, salary administration, succession planning, recognition, training gaps, employee relations, employee conduct, etc.
- Guides and coaches leaders through actions related to formal disciplinary procedures, jointly determines appropriate course of actions; reviews and provides suggestions for performance improvement plans; and ensures legal compliance with aid of VP HR and/or legal counsel when necessary
- Proactively identifies areas for process improvement, innovation, and opportunities for efficiency and synergy
- Partners with management to improve employee engagement and increase productivity and retention, this includes coordination of community or company events, e.g.
- Confers with leaders to identify staffing needs, job specifications, job duties, qualifications, skills and competencies
- Partners with recruiting on internal and external recruitment efforts for all positions
- Partners with hiring managers to ensure proper department on-boarding tasks including: 30/60/90 day reviews, survey analysis, etc.
- Partners with the hiring manager to ensure required timely completion of new hire I-9’s; and finding alternative sources to complete new hire’s I-9 for off-site/remote/employees. Updating I-9 verifications in HireRight as required.
- Assists in the development and delivery of management and/or employee training sessions related to strategic initiatives, performance management, employee engagement, succession planning, etc.
- Actively researches, creatively designs and implements effective methods to educate, enhance performance and recognize performance; advising and collaborating on the development and administration of recognition programs with Group HR
- May lead or participate in special and/or cross-functional project teams related to Company and/or TCR strategic initiatives
- Identifies, evaluates and resolves employee relations issues such as employee complaints, harassment allegations and civil rights complaints
- Conducts, Analyzes and reports on trends related to employee relations activities; Reviews exit interviews to analyze reasons for separation and to identify trends
- Assists employees with developing personal strategies or action plans related to the workplace, e.g., career development, performance improvement, peer/manager conflict, communication, etc.
- Administers initial and ongoing Visa and Immigration requirements
- Administers one – time – payments in Workday including: Sign On Bonus/Severance/Tuition Reimbursements
- Additional duties as assigned
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Position Purpose:
Develops regional and local Business Strategic, Tactical and Operational plans. Executes Action Plans leading to the accomplishment of Company goals. Develops deep agency relationships and represents the Company locally, regionally and on a national basis. Will work with Sr. Management of the Company and Regional Companies as required to drive both growth and profitability. Participate in the development of Marine and Property strategic and tactical plans based on company plans, technological advances, and corporate plans. Will work within limits of authority requiring the highest degree of technical complexity and coordination. Focus will be on complex property, marine risks and programs that will drive profitable growth.
Essential Duties and Responsibilities:
- Must be able to work independently in an entrepreneurial environment.Builds superior distribution partnerships with agents and brokers. Develops and implements sales plans to leverage profitable business growth.
- Analyzes applications, determines acceptability of risk in accordance with Company guidelines and practices in order to make the appropriate underwriting decisions. Applies underwriting guidelines and appetite to risk selection and pricing.
- Keeps current on state/territory issues and regulations, industry activity and trends and freely shares information with others. Negotiates with agents to reach positive and profitable outcomes.
- Develops a diverse book of business consisting of varied inland marine and property classes of business, risk size and complexity.Analyzes quality, quantity, and profitability of risks underwritten and prepares reports for management review.
- Assists in the management of the Inland Marine and Property business to achieve the goals and objectives established. Ensures continued profitable growth. May provide guidance and assistance to other underwriters and to other functional areas, particularly when related to cross-sell opportunities.
- Collaborates with management on risks exceeding authority level or requiring special handling. Provides assistance to underwriters requiring referrals due to the authority levels. Evaluates underwriting performance based on financial analysis. Includes rate, reserve adequacy, operational execution, planning and product reviews.
- Collaborates with Regional Companies in developing regional inland marine and property business plans.
- Assists with product development in creation of innovative products and service to introduce to the market.
- Collaborates with business partners in Risk Control, Actuarial, Finance and Claims to driver profitable results.Develops program opportunities.
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Summary
The Claims Technical Analyst, in partnership with in-house counsel, provides technical claims guidance,
review and training related to compliance with federal and state regulations and coverage matters.
Essential Duties & Responsibilities
Reviews legislative/regulatory research and updates provided by in-house legal counsel. Ensures the
technical guidance related to legal statues, regulation and/or other requirements impacting claim
practices and processes is communicated and implemented.
Develops and implements claim handling policies and best practices. Identifies changes in claim best
practices and workflows to ensure compliance with federal and state laws and regulations. Performs
compliance audits and file reviews to ensure company is meeting regulatory requirements.
Collaborates with in-house and outside counsel to develop, maintain and update technical guidance
materials to ensure adjusters handling of claims remains in compliance with federal and state regulations.
Reviews and updates form letters and releases to ensure they are in compliance with state requirements
and are properly worded and formatted. Provides review of Disclaimers and Reservation of Rights letters
and does research on coverage matters where needed.
Develops and delivers in partnership with in-house and outside counsel, claims adjuster training and
claims training materials related to compliance and coverage matters.
Handles Medicare compliance related issues and reporting.
Serves as liaison with in-house counsel on Departments of Insurance (DOI) matters to ensure timely
reporting for compliance with governmental and regulatory agencies. Prepares information and/or
reports needed to fulfill compliance request from various DOI. Investigates compliance concerns and
determines corrective measures needed to resolve matter to the satisfaction of the DOI. May assist with
market conduct examinations.
Develops and implements Claims onboarding process for new hires. Collaborates with leaders to create new hire onboarding training schedule and identify needed resources. May conduct individual or group training sessions related to claims business systems and processes. Participates in business projects to achieve desired business objectives. Assists in coordinating and prioritizing various aspects of the project, including planning, communication, execution and completion. Performs other related duties as assigned by management.
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Summary
Processes incoming and outgoing mail using automated mailing equipment for Continental Western Group
(CWG) and other Berkley entities according to established procedures, guidelines and productivity standards.
Assembles and prepares insurance documents for mailing. Provides backup support for reception by
answering and directing calls received on a multi-line switchboard. Greets and directs on-site visitors.
Essential Duties & Responsibilities
Collects, sorts and prepares outgoing mail including agent mail, direct mail, certified mail, checks, United
Parcel Service (UPS) and FedEx shipments, and other postal packages. Uses automated mailing equipment to
prepare, process, weigh, and meter items. Reviews appearance of all outgoing mail. Maintains certified mail
records and reconciles proof of mailing on a daily basis. 50%
Opens and sorts inter-office and in-bound mail from the U.S. Postal Service, UPS, FedEx, etc. according to
destination and type. Distributes mail throughout facility according to established schedule. 15%
Assembles computer-generated insurance policies, billing statements, policyholder notices and cancellation
notices and prepares for mailing. 15%
Provides backup support to reception by answering and directing calls received on a multi-line switchboard.
Pages or transfers call to voice mail when staff is unavailable. Greets visitors, determines nature of business
and announces visitors to appropriate staff. Monitors visitor access and issues security badges when required.
10%
Maintains and updates agency and field staff name and address information in various business systems. 5%
Conducts training of new mail center staff and performs variety of support functions and backup for print
operations and scanning as needed. 5%
Performs other related duties as assigned by management.
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- Learn how our business works at all levels of the organization and customer base (internal, policyholders, agents, etc.)
- Participate in planning the user experience for all aspects of our online presence
- Take a leading role in developing our customer portal and future offerings
- Develop and implement projects (research, sketch, code, test, roll out), involving stakeholders across the organization
- Stay on top of trends and new technology - Identify future tools and strategy, and create the business case for adoption and implementation
- Work closely with the IT and Marketing teams to manage timelines, resources and communication strategy
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Personal Jewelry Underwriter for the Berkley Asset Protection digital on-line program.This underwriter will promote profitable written premium growth and favorable loss ratios in accordance with BAPU Best Practices, Underwriting Guidelines, Line of Business risk appetite, and personal Underwriting Authority as it relates to the digital on-line program.
Overall Responsibilities:
- Position involves handling both inbound and outbound customer interactions. This comes in nature of direct calls from insureds and potential insureds as well as email correspondence.
- Evaluation, rating, and pricing of appraisals for New Business risks within company guidelines.
- Executing on policy changes within authority (endorsements).
- Development of sales techniques and processes that drive revenue.
- Processes payments for policyholders including credit card (in accordance with PCI standards) and ACH payment, including payments that fail.
- Preparation of Declination correspondence to insured (when required).
- Completion/updating of data entry fields in digital on-line program.
- Completion of Rating/Review Documents as required.
- Adherence to BAPU Best Practices, Underwriting Guidelines, Line of Business risk appetite, and personal Underwriting Authority.
- Communication with and solicitation of additional information from insureds and jewelers when needed.
- Development, maintenance, and management of assigned agency/jeweler relationships through regular customer contact.
- Communication of corporate goals, programs, and underwriting policies and procedures.
- Evaluation of the performance of assigned agency/jeweler relationships to ensure company and agency/jeweler goals are met.
- Awareness and maintenance of personal production, hit ratios, renewal retention ratios, spread of risk, and other production and quality measures.
- Coordination of Loss Control services as needed.
- Act as a liaison with finance/accounting as needed.
- Management of special projects or program business as needed.
- Availability to aid in additional workflow processes when needed and subject to supervisor direction.
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We currently have a Senior Underwriter opportunity available. The main responsibilities for this position are:
- Determines risk acceptability, pricing, coverage, terms and conditions with defined limits/authority and underwriting guidelines.
- Develops positive agency relationships within assigned territory while maintaining a good rapport through responsive levels of service.
- Establish types and limits of coverage to be provided.
- Create analyze and interpret data.
- Ensures production and loss ratio goals are achieved within assigned territory by reviewing, analyzing and evaluating information and taking appropriate action as necessary.
- Develops, grows and maintains a profitable, diversified book of business through effective underwriting decision making to align with Company goals.
- Reviews new and renewal accounts to verify issuance is in compliance with Company underwriting guidelines, addressing discrepancies as needed.
- Ability to identify and problem solve for agents including finding solutions and ensuring success to the end.
- Proficient at communicating (written/verbal) information to both internal and external customers ensuring our standards of excellence
are maintained.
- Be responsible for monitoring production, profitability, and maintaining agency relationships.
- Collaborate with underwriting team and other departments, contributing knowledge and soliciting feedback relative to underwriting philosophy and company goals
- Maintain familiarity with state laws and filing requirements to properly transact business.
- Identify and recommend changes to policy verbiage when standard text is not appropriate.
- Monitor amount of insurance in force on a single risk or group of closely related risks; evaluate possibility of catastrophe losses and take action, as appropriate.
- Ability to work well with others to achieve shared goals while demonstrating diplomacy and flexibility.
- Fosters the growth and development of less experienced staff while fostering an enthusiastic environment with internal and external customers.
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- Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
• Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
• Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
• Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
• Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
• Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
• Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at an intermediate level.
• Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.
• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
• Composes and transmits Large Loss Reports and other detailed reporting documents as appropriate in a regular and timely basis.
• Manages and monitors file caseload through the use of various resources.
• Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements.
- Telecommute and/or Remote Worker
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At Verus, we believe in focusing on your enthusiasm to ensure we are a dynamic and growing organization. We value the insight our adjusters bring to the organization and will give you the tools to make an impact on the future of the company. Our Claims Adjusters have a passion to resolve issues, discover win/win solutions, and keep up with the fast paced environment of Verus.
RESPONSIBILITIES
Job duties include:
- Ability to manage moderate and complex Commercial Casualty and Professional Liability claims with limited supervision. Specialty in Professional Liability is a must.
- Evaluate insurance coverage based on claim report, the insurance policy, applicable statutes and case law to determine if a claim can be accepted as within coverage.
- Able to attend mediations around the country
- Experience in completing reservation of rights and coverage disclaimer letters
- Ability to assign and supervise independent adjusters
- Willingness to handle their own inventory of claims
- Working with internal and external clients, as well as with attorneys and claimants, to resolve claims
- Willingness to process work into claims system and operate without a claims support staff
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The Underwriting Executive will manage existing broker and client relationships and will develop new broker and client relationships, resulting in premium generation. The Underwriting Executive will work closely with the Actuarial, Claims, and Underwriting teams to understand and achieve profitability targets. The Underwriting Executive will also analyze risk, exposure, loss and coverage information for group and individual risk accounts to structure and price programs that are financially efficient for the insured and profitable for the company, and will Identify and utilize data-driven analyses to drive marketing efforts relative to customer acquisition and retention.
Overall Responsibilities:
- Review new and renewal submissions for completeness and address any discrepancies with the broker.
- Organize and aggregate loss and exposure information and input into pricing models.
- Analyze and interpret risk data and complete an underwriting workbook for each eligible risk.
- Work with actuarial to understand the key components of the pricing models.
- Establish and maintain broker relationships though superior levels of service and direct broker engagement.
- Manage referrals within guidelines.
- Attend industry client centric events
- Assist with the development of new products, services, process improvements, and marketing initiatives
- Identify and report operational risks and areas in need of improvement.
- Independently make sales calls to brokers and clients, and when necessary, coordinate with Executive, Underwriting, and Claims.
- Manage ad hoc projects as required
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The Senior General Liability and Property Claim Specialist will:
- Evaluate and analyze coverage and be able to draft accurate and professional reservation of rights and disclaimer letters.
- Investigate and handle property, auto , and general liability claims of low to severe complexity, including claims in litigation.
- Manage outside adjusters, investigators, experts, recognize potential fraud, and handle subrogation.
- Reporting of large loss exposures to supervisors and committee large losses with management and underwriting.
- Proper and timely reserving for exposures within each claim file.
- Follow Best Practices Guidelines for handling claims.
- Provide excellent customer service.
- Maintain working diary of assigned claims.
- Strong commitment to the WRBC/Berkley FinSecure culture.
- Collaborate with other business units and co-workers to support Berkley FinSecure’s strategies, initiatives, and executive objectives.
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Position Purpose:
Evaluates acceptability of individual risks and determines terms, conditions and pricing to achieve company profit and growth objectives. Works with agents/brokers to develop productive and profitable relationships and to ensure compliance with company underwriting guidelines.
Essential Duties and Responsibilities:
To perform this job successfully, an individual must be able to perform each of the following essential duties and responsibilities satisfactorily. Other duties may be assigned.
- Underwrites new business by reviewing the application for acceptability, requesting additional information, if necessary, and accepting or rejecting risks in conformance with company guidelines.
- Underwrites within authority set forth by Commercial Lines Vice President and within confines of company's reinsurance treaties and corresponds with agency to collect additional information.
- Underwrites renewal business by reviewing insured's file, producing agency's experience, nature and frequency of losses, loss control surveys, motor vehicle reports, and prior carrier loss experience.
- Assists Commercial Lines Vice President in development of new products, pricing, or coverage's needed.
- Develops productive and profitable relationships with agents.
Other Duties:
- Maintains an established loss ratio.
- Meets established production goals and delivers timely service.
- Serves as the staff liaison for the assigned line in disseminating line updates and developing staff.
- Travels within the assigned territory to facilitate customer development and relationship through agency visitation and prospect calls.
- Pursues a program of continuing education by participating in industry sponsored and company sponsored educational courses.
- Assists in training of other personnel as directed.
Performance Expectations:
This position will be assessed based on achievement of the following elements of performance:
Attainment of goals/standards for this position; Dependability (appropriate use of time and resources, including but not limited to phone use, attendance, promptness, funds or asset use); Customer service/sensitivity (of internal and external customers); Teamwork.
Other additional elements of performance will impact this position and will be provided by the supervisor of this position.
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The Complex Claims Director will:
- Be responsible for handling Director and Officer claims for Public Companies and Financial Institutions of high complexity and exposure for cases including securities class actions, shareholder derivative actions, M&A litigation and regulatory inquiries.
- Have experience reviewing complaints that are complex in nature, provide high level coverage analysis, determine exposure, set appropriate reserves and attend mediations and/or trials.
- Have excellent communication skills so that they can interface with insureds, brokers, underwriters and counsel to work towards claim resolutions.
- Manage a pending of 200+ claim files.
- Report to Senior Management quarterly.
- Communicate regularly with customers and brokers.
- Manage litigation and determine when settlement is appropriate.
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Main Responsibilities:
- Open, sort, and distribute incoming mail
- Identify and distribute specialty mail on a priority basis daily
- Process incoming faxes received on Claims fax and provide additional assistance on labeling documents for the Medical Unit
- Serve as the main point of contact for outsourced administrative claim functions not limited to mail house functions
- Perform data entry to work diaries and create activity notes
- Complete assigned work via diaries and work queues in a timely manner
- Prepare and scan claim documents
- Provide interim support for E-Bill processing (indexing) and other claims related mail (index and image) including legal bill processing
- Provide back up support for reviewing, indexing, and assigning unidentified mail as received from Mail house vendor
- Perform other duties as assigned
Administrative Services Clerk may specialize in one area of the claims processing function, such as mail & claim processing, payment & accounting transactions, or financial compliance.
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The Director - Security Strategy, Architecture, and Consulting is a key member of the Global Information Security Management team. This individual is responsible for coordinating and consulting on the day to day management and execution of the Information Security program. Through effective governance routines, project and program execution tracking, this leader will support all Information Security verticals in their efforts to improve and mature the security posture of the firm.
As a Security Architect, this individual will also participate in the organization's evaluation of emerging technologies in Cyber Security space. More specifically, this role will require that the successful candidate evaluate the potential cyber security opportunity for an emerging technology, understand the applicability to our corporate and operating units, build compelling business cases, and communicate these concepts across leadership. The Security Strategist will be responsible for working with the team and our various partners to establish and communicate points of view, while working with the business leadership to evaluate investments, staffing, target markets, and ROI expectations for areas of emerging technology that are recommended for pursuit. The successful candidate should be accomplished in building business cases, including financial projections that clearly articulate the mission and anticipated goals of any particular investment strategy.
This leader will assist the CISO and the Head of Security Architecture in the continuous development and documentation of the Information Security program while keeping up to date on industry best practices, upcoming regulatory requirements, and emerging technologies to help ensure that WRBC can take a proactive approach to information security.
Core Responsibilities:
The Information Security Architecture (Consultants) will interact with all levels of personnel, including executives, business operational heads and technical staff, to bring them together to ensure the coordination to define, design and implement controls that reflect business and operational needs balanced with legal and regulatory requirements and risks.
This position is responsible for the overall Information Security Program implementation within the organization including all information security verticals as well as regulatory compliance. Responsibilities include coordinating, tracking and reporting on the implementation of program components and alignment to regulatory requirements. Additional duties include development of meeting materials for executive governance committee meetings, technology team meetings, security architecture and strategy in all corporate domains.
This person will lead the development of the requisite governance committees to run information security including technology governance as well as architecture governance.
The leader will work jointly across the enterprise with the Legal, Technology, Human Resources, Audit and others in the development and management of the Information Security Program through:
- Translating strategy into execution plans
- Tracking and status reporting at program level
- Interacting with other IT teams to coordinate project and program tasks
- Governance design, governance routines with executives, IT teams, regulatory project teams
- Assistance in developing operational models for the Security verticals
- Ensure the ongoing integration of information security with business strategies and requirements.
- Partner with other Information Security leadership team members to collectively build and drive the Information Security Program, Strategy, and Roadmap
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The VP, Head of IT Security Operations is responsible for developing and managing the Global Information Security Operations function enterprise wide. The SecOps team is responsible for providing security operations and engineering, vulnerability management and testing, security monitoring, incident response, security tools, and all other assigned InfoSec functions in a 24x7, large-scale global environment.
This leader will own and drive the global rollout of a more robust and formal approach to managing information security operations programs across all technology platforms and business environments. The structure of the program will be based on the goals, principles and strategy of the overall Global Information Security Enterprise Security Strategy at WRBC. At its core, the SecOps team will ensure appropriate information security operations while driving performance efficiencies based on the appropriate risk to technology and business environments. The SecOps head leader will optimize team processes to ensure efficient and effective delivery of services in a 24x7 ‘follow the sun’ operating model.
The Head of Security Operations program will interact with all levels of personnel, including executives, business operational heads and technical staff, to bring them together to implement controls that reflect business and operational needs balanced with legal and regulatory requirements and risks. This position is responsible for the Information Security Operations program that defines how information security technical controls are managed and measured. The responsibilities include developing programs such as vulnerability assessment and management, MSSP vendor management, security monitoring, security metrics and reporting and security incident response.
This team implements tools and controls to measure and articulate current risk levels and ensures that they are understood by stakeholders as appropriate. They design response programs to react to risks from cyber threat sources. The leader will work jointly across the enterprise with the Legal, Technology, human Resources, Audit and others in the development and management of the Information Security Program.
The leader will have a major responsibility in ensuring that a defined information security program is in place & monitoring of information technology security practices occurs to ensure information and technology infrastructure is:
- Secure from unauthorized access
- Protected from inappropriate alteration
- Confidential user and company data remains private
- The successful candidate will manage the effectiveness of the company’s information technology security program, including progress on remedial actions, and
Serve as an internal information security consultant and subject matter expert
- Manage information security risks by routine assessments and developing a risk management plan
- Produce scheduled reports of the status of IT’s compliance with WRBCs Information Security Program
- Participate in risk assessments and the development of risk management plans
- Ensure the ongoing integration of information security with business strategies and requirements
- Lead an incident response team to contain and investigate security events, and prevent future information security breaches with detailed root cause analysis.
- Develop remediation plans for process/policy related information security vulnerabilities
- Develop and maintain technology and operations roadmaps for security infrastructure components, including but not limited to intrusion prevention/detection, security firewalls, user monitoring, and security information & event management (SIEM)
- Partner with other Information Security leadership team members to collectively build and drive the Information Security Program, Strategy, and Roadmap
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- Manages and guides the performance and professional development of GL adjusters through coaching and mentoring of technical staff, including performance evaluations and salary reviews.
- Performs regular file reviews and audits to determine compliance with best practices.
- Responsible for controlling expenses within the Department guidelines.
- Facilitates and promotes consistent, positive Department financial results by actively strategizing with and providing appropriate guidance and authority to technical staff. Requires technical knowledge and experience, including an understanding of coverage and contract law, investigation, legal liability, litigation and reserving.
- Understands and utilizes existing technology resources and data to measure and monitor financial and performance trends.
- Facilitates the improvement of all systems applications utilized in the Department, including CWS, Va3i and Data Oasis, for successful and efficient claims handling and related workflow processes.
- Responsibility for various projects related to achieving Department goals (i.e., cost management, quality assurance, SIU, training and development, etc.)
- Regular participation in the interviewing process for potential new hire candidates.
- Occasional responsibility for handling claims that are very complex and/or involve sensitive or confidential information.
- Reviews and approves coverage letters and responses to regulatory agency inquiries.
- Reviews and approves Large Loss Reports.
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The Policy Services Representative is responsible for learning company policy and procedures in relation to policy administration, as well as other general policy information. The primary role of the Policy Services Representative is to provide a high level of customer service to company clients and agents regarding their worker’s compensation policies as well as providing general administrative and clerical support to other functional units such as premium audit, premium accounting, and underwriting. The Policy Services Representative must exhibit a degree of competency in their area of responsibility. Productivity, timeliness and accuracy are key, exercising appropriate judgment is critical.
RESPONSIBILITIES:
- Responds to client/agent inquiries regarding a variety of premium policy and related issues.
- Achieves a working knowledge of company policies and procedures in relation to policy administration.
- Provides clerical and administrative support for other departments.
- Completes projects as assigned.
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Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines. Performs workers’ compensation claims adjudication and investigation.
- Properly investigate and handle all types of workers’ compensation files including lost time, litigation and long term exposure within predetermined claim-handling guidelines.
- Initiate return-to-work discussions with the employer and effect return-to-work for the injured worker.
- Establish timely and appropriate case reserves
- Investigate and manage subrogation and negotiate settlements.
- Use automated diary system to issue indemnity benefits and provide claim management.
- Accurately calculate and pay wage loss and other benefits.
- Assign rehabilitation and monitor costs and outcomes.
- Document all action plans and evaluations for claim resolution.
- Maintain organized electronic files.
- Interact with clients to establish/improve communication and service capabilities.
- Interact and communicate with state agencies, attorneys and other providers.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Achieve specific performance outcomes related to quality and quantity of work as established by management.
- Provide cost containment for individual claim and overall claim costs for account to achieve account profitability.
- Approve medical and rehabilitation payments for check entry staff or define medical and rehabilitation payment parameters for WC Claim Technicians per office procedure.
- Conduct in person claim reviews when scheduled or requested.
- Perform the duties noted in the position descriptions in accordance with the BRAC Claim Handling Guidelines - Workers' Compensation
- Occasional travel may be out of town requiring overnight stay.