Claims Analyst

W. R. Berkley Corporation; Chesterfield (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

Midwest Employers Casualty (MEC), a member of W. R. Berkley Corporation, is seeking a Claims Analyst to manage high-exposure Workers' Compensation claims in Chesterfield, Missouri. The role focuses on proactive loss mitigation, reserving, and settlement through collaboration with MEC clients, TPAs, and attorneys.

You will leverage analytics and AI tools to improve claim evaluation, maintain detailed files, and drive timely settlements while upholding best practices across the portfolio.

Qualifications

• Bachelor's degree preferred.
• Minimum 5 years of primary claim handling experience in WC.
• Ability to learn and maintain skills in an electronic environment.
• Working toward CPCU or AIC credentials preferred.

Responsibilities

• Accurately evaluate WC claims for potential exposure and establish appropriate reserves.
• Utilize predictive analytics and AI-driven tools to provide insight into trends and exposures.
• Lead evaluation, mitigation and resolution of WC claims with MEC teams.
• Establish, review and adjust case reserves within authority levels with data-driven insights.
• Identify and influence MEC vendors and achieve claim settlement objectives.
• Plan and conduct on-site TPAs visits to promote loss mitigation and timely settlement.

Skills

Influence management

Prioritization

Problem solving

Communication

Teamwork

Education

Bachelor's degree preferred

Job description

Company Details

Midwest Employers Casualty (MEC) is a member of W. R. Berkley Corporation, a Fortune 500 company rated A+ (Superior) by A.M. Best. Based in Chesterfield, Missouri, MEC improves the quality of life for employees who are severely injured on the job and helps companies understand and mitigate workers' compensation injury risk. MEC offers a friendly, results-focused work environment and seeks employees who take initiative, adapt quickly, are dependable, and work well as part of a team.

Responsibilities

The Claims Analyst is responsible for managing high exposure Workers Compensation claims. The primary job objectives are to proactively mitigate loss costs and settle claims by developing relationships and influencing MEC’s customers and claim administrators. The role also leverages Advanced Analytics and Assisted Intelligence (A.I.) toolsto enhance claim evaluation, reserve accuracy, and settlement strategies, supporting data-driven decision-making and continuous improvement.

Key responsibilities include but are not limited to:

• Accurately evaluate WC claims for potential exposure and establish appropriate reserves
• Utilize predictive analytics and A.I. driven tools to provide insight into complex medical issues, evaluate trends and explore potential exposuresLead evaluation, mitigation and resolution of WC claims by collaboration with MEC Medical Management Consultants, Client Consult Managers and Claims AttorneysAchieve settlement and vendor goals and objectivesAdhere to departmental Best Practices by:Establishing, reviewing and adjusting case reserves in a timely manner within proper authority levels supported by data driven insights and A.I. assisted tools.Identifying and influencing appropriate MEC vendorsIdentifying and achieving claim settlement agreements and obtaining necessary authority to finalize resolutionMaintaining well documented claim files supported by an effective and current diary system on all assigned claimsInfluence TPA adjusters to adopt MEC recommended claim handling strategiesPlan and conduct on-sight Third Party Administrators (TPAs) visits to promote loss mitigation, vendor utilization and timely settlement across assigned portfolio of claimsCollaborate with Regional Team colleagues to support business growth and client retention through consultative engagementReview and authorize reimbursements

  Qualifications

  • Bachelor's degree preferred.
  • Frequent usage and general knowledge of WC industry accepted claim handling practices and standards with a minimum of 5 years of primary claim handling experience
  • High level of influence management skills
  • Ability to prioritize, organize and meet deadlines
  • Ability to analyze issues and barriers, find solutions and effectively implement solutions
  • Ability to work effectively in a team environment under general supervision
  • Ability to communicate frequently and effectively to internal and external contacts using both verbal and written communication skills
  • Ability to learn and maintain skill levels in an electronic environment.
  • Working toward CPCU or AIC credentials preferred

  Additional Company Details

  We do not accept unsolicited resumes from third party recruiting agencies or firms. 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

  Office and remote work environment Travel required up to 25% to 35% based on customer, broker, and business needs.

  Sponsorship Details

  Sponsorship not Offered for this Role