Senior Workers Comp Claims Specialist

Jobtailor; Deutschland; Remote; EUR 90.000 - 140.000; Vollzeit

Zusammenfassung

Jobtailor seeks an experienced Senior Property & Casualty Claims Manager to oversee a large portfolio of complex claims, lead investigations, and negotiate settlements. The role includes directing reserves, guiding disputes, and mentoring staff to ensure high standards of service and regulatory compliance.

The ideal candidate has 13+ years in claims handling, strong analytical and negotiation skills, and in-depth knowledge of insurance policies and regulations.

Qualifikationen

• Requires 13+ years in property and casualty claims handling.
• Excellent analytical, negotiation, and problem-solving skills.
• Deep knowledge of insurance policies, coverage, and claims handling procedures.
• Familiar with industry laws and regulations.
• Strong ability to organize and prioritize caseloads.
• Excellent interpersonal and communication skills.

Aufgaben

• Manage a large inventory of complex claims to evaluate compensability and liability.
• Lead investigations to confirm coverage and determine liability, compensability, and damages.
• Analyze and negotiate claim settlements and reserves within authority.
• Attend arbitrations, mediations, depositions, or trials as needed.
• Convey complex coverage and settlement information to insureds, claimants, and external partners.
• Authorize payments within assigned limits and ensure timely disbursement.
• Maintain accurate claim files with correspondence, reports, and settlement agreements.
• Coach staff and participate in talent development and performance decisions.
• Perform other duties as assigned.

Kenntnisse

Negotiation

Analytical Skills

Communication

Relationship Building

Coaching

Organizational Skills

Leadership

Ausbildung

Bachelor's Degree in Business Administration / Risk Management & Insurance / Finance or related field

Associate in Claims (AIC)

Tools

Claims software

Regulatory databases

Jobbeschreibung

• Manage a large inventory of highly complex claims to evaluate compensability and liability
• Lead comprehensive claims investigations to confirm coverage and determine liability, compensability, and damages
• Analyze and negotiate claim settlements and reserves within prescribed authority
• Attend arbitrations, mediations, depositions, or trials as needed
• Convey complex coverage and settlement information to insureds, claimants, and external partners
• Authorize payments within assigned authority limits and ensure timely disbursement
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
• Potentially coach staff and participate in talent selection, development, and performance management decisions
• Perform other duties as assigned

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
• Generally, a minimum of 13 years of experience in property and casualty claims handling
• Completion of or continuing progress toward a professional designation such as Associate in Claims (AIC) preferred
• California workers’ compensation experience preferred
• Excellent analytical, negotiation, and problem-solving skills
• Expert knowledge of insurance policies, coverage, and claims handling procedures
• Knowledge of industry laws and regulations
• Advanced ability to organize and prioritize caseloads
• Excellent interpersonal and communication skills
• Ability to build relationships and lead negotiations
• Proven ability to handle confidential information with discretion
• Must be authorized to work in the United States without the need for current or future sponsorship

Core Competencies

Demonstrates expertise in managing complex claims, including evaluating compensability and liability, negotiating settlements, and ensuring compliance with industry regulations. Strong analytical and communication skills are essential for conveying complex information and leading negotiations effectively.

Highest-signal resume keywords

• Claims Management
• Negotiation Skills
• Insurance Policy Knowledge
• Analytical Skills
• California Workers' Compensation Experience

Hard Skills

• Claims Handling
• Compensability Evaluation
• Liability Assessment
• Settlement Negotiation
• Claims Investigation
• Claims File Management
• Regulatory Compliance
• Risk Management
• Financial Analysis
• Problem Solving

Soft Skills

• Interpersonal Skills
• Communication Skills
• Relationship Building
• Coaching
• Organizational Skills

Certifications & Qualifications

• Bachelor's Degree
• Associate in Claims (AIC)

Industry Keywords

• Property and Casualty Claims
• Insurance Coverage
• Claims Procedures
• Confidential Information Management
• Arbitration
• Mediation
• Depositions
• Trial Experience
• Claims Reserves
• Talent Development