WC Sr. Claims Examiner - Minnesota

W. R. Berkley Corporation; Waterloo; On-site; USD 70,000 - 80,000; Full time

Job summary

Join a forward-thinking company as a Claims Manager, where you will oversee complex workers' compensation cases. This role involves investigating claims, managing medical treatment, and ensuring compliance with performance guidelines. You will play a crucial role in supporting injured workers while collaborating with clients and legal professionals. The organization offers a competitive salary and a robust benefits package, fostering a supportive environment for professional growth. If you thrive in a dynamic setting and are passionate about making a difference in the lives of others, this opportunity is perfect for you.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Wellness Programs

Paid Time Off

401(k)

Profit-Sharing Plans

Qualifications

• 3+ years of experience in workers' compensation claims management required.
• Strong understanding of litigation and medical/legal issues essential.

Responsibilities

• Manage a caseload of complex workers’ compensation cases.
• Investigate claims and document handling activities thoroughly.
• Actively manage medical treatment and assist injured workers.

Skills

Communication Skills

Analytical Ability

Customer Service Skills

Basic PC Skills

Knowledge of Workers’ Compensation Laws

Education

BA/BS degree

Experience in Workers Compensation Claims Management

Tools

Client/Server Based Claims Processing System

Windows Environment

Job description

Company Details

We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.

Responsibilities

Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.

• Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
• Document claim handling activities; create and document action plans.
• Establish appropriate case reserves.
• Actively manage medical treatment and disability while assisting the injured worker to return to work.
• Comply with all performance guidelines.
• Identify loss trends and communicate to supervisor and/or clients.
• Use automated diary system to issue indemnity payments and for claims management.
• Investigate and manage claim subrogation and negotiate settlements.
• Manage coverage B or conflict of interest cases as assigned.
• Address customer complaints and inquiries in an exemplary and professional manner.
• Participate in client claim reviews when scheduled or requested.

May perform other functions as assigned.

Qualifications

• Demonstrated working knowledge of workers’ compensation administration rules/laws for Minnesota.
• Excellent communication and presentation skills.
• Must be able to interface with clients, legal counsel, health care professionals, etc.
• Good math and analytical ability.
• Excellent customer service skills.
• Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system.

Education

• BA/BS degree with three years’ experience. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years’ experience in workers compensation claims management.

Additional Company Details

The Company is an equal employment opportunity employer. We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including:

• Base Salary Range: $70k-$80k
• Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Additional Requirements

Travel: Occasional travel.

Sponsorship Details

Sponsorship not Offered for this Role.