Claims Advocate – Workers’ Compensation Expert

W. R. Berkley Corporation; Manassas (VA); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Competitive compensation

Robust benefits package

Job summary

BerkleyNet, part of W. R. Berkley Corporation, is seeking an experienced workers’ compensation claims professional in Manassas, VA. You will investigate claims, set reserves, manage payments, and coordinate medical treatment to ensure timely rehabilitation.

The role requires 3–5 years of WC claims experience, excellent communication, and strong analytical abilities. A competitive salary and robust benefits are offered with opportunities for professional growth.

Qualifications

• 3-5 years of experience handling workers’ compensation claims.
• Excellent written and verbal communication skills.
• Strong interpersonal and relationship-building skills.
• Exceptional time management and organization skills.
• Strong analytical and critical thinking skills.
• Ability to work independently and strategically problem solve.
• Ability to diplomatically manage conflict.
• Ability to develop relationships within the organization and across departments.
• Strong discretion and integrity with highly confidential information.
• Detail oriented.

Responsibilities

• Investigate workers’ compensation claims by interviewing injured workers, witnesses, and policyholders to verify coverage and determine compensability and benefits due.
• Calculate and set timely financial reserves and proactively manage reserve adequacy throughout claim lifecycle.
• Record and code injured worker demographics, job information and accident information in the claims system and file necessary forms with state regulators.
• Issue timely payments to injured workers, medical providers and service vendors.
• Coordinate and actively manage medical treatment of injured workers to ensure timely rehabilitation.
• Negotiate settlements of claims within designated authority with injured workers and attorneys.
• Serve as subject matter expert on the Workers’ Compensation Act, adjudication process, and regulatory framework in assigned jurisdictions.
• Identify and manage subrogation, Second Injury Fund and joint coverage recovery opportunities.
• Regularly communicate claim activity and status updates to policyholders and involved parties.
• Monitor expenses and effectiveness of managed care and investigation vendors.
• Periodically travel to hearings, conferences, and training sessions.
• Attend and participate in claim file reviews with management and defense attorneys.

Skills

Communication

Time management

Analytical thinking

Relationship building

Independent work

Conflict management

Discretion

Attention to detail

Problem solving

Education

Bachelor's degree or equivalent

Insurance designations (AIC/ARM/CCP/CPCU)

Job description

BerkleyNet, part of W. R. Berkley Corporation, is seeking an experienced workers’ compensation claims professional in Manassas, VA. You will investigate claims, set reserves, manage payments, and coordinate medical treatment to ensure timely rehabilitation.

The role requires 3–5 years of WC claims experience, excellent communication, and strong analytical abilities. A competitive salary and robust benefits are offered with opportunities for professional growth.