Senior Claim Adjuster - Workers' Comp

Fcci Group; Sarasota, Northern (FL, KY); Hybrid; USD 62,000 - 96,000; Full time

Benefits offered by this job

Paid Family Leave

Competitive PTO & Holidays

Recognition & Bonus Programs

Employee Referral Bonus

401(k) Match & Profit-Sharing

Job summary

FCCI Insurance Group in Sarasota, FL seeks a Senior Work Comp Claim Adjuster to conduct quality, timely investigations of workers' compensation claims and deliver exceptional customer service.

You will handle claims primarily for Florida, Pennsylvania and other mid-Atlantic jurisdictions; the role may involve field investigations and collaboration with UW and Risk Control to achieve quality resolutions.

Qualifications

• Bachelor's degree or equivalent; relevant, progressively responsible work experience may substitute for education
• Minimum of four years commercial WC claim adjusting experience
• Valid driver's license and safe driving record
• Current active adjuster license in assigned jurisdiction
• Strong working knowledge of insurance claim procedures, rules, systems, and regulations
• Strong working knowledge of claim file management techniques and processes
• Strong understanding of the judicial and legal systems; knowledge of medical terminology
• Excellent communication, interpersonal, and organizational skills
• Ability to analyze, define and solve problems; good judgment and decision-making
• Ability to interpret and explain insurance policy coverage and state regulations
• AIC, SCLA designation or related coursework or experience

Responsibilities

• Provide quality, cost-efficient, and timely investigation of liability claims and exceptional customer service
• Manage an inventory of claims within departmental guidelines and budgetary constraints
• Evaluate coverage/compensability and may perform field investigations as needed
• Collaborate with UW and Risk Control to meet the needs of agency partners and policyholders
• Contribute to file resolution with emphasis on quality claim handling

Skills

Strong communication skills

Analytical thinker

Organizational skills

Education

Bachelor's degree or equivalent

Job description

Are you an insurance professional who would like to work for an excellent, multi-line company with a clear vision and strong financials? FCCI Insurance Group writes property & casualty lines in 20 states and we are rated A (Excellent) with a Stable outlook by A.M. Best Company. Our success is built on strong partnerships with independent insurance agents who value our excellent loss control, claims and customer service. If you share our commitment to integrity, excellent service and want to work for a company you can be proud of, we want to hear from you.

Currently seeking an experienced Senior Work Comp Claim Adjuster to provide quality, cost efficient, and timely investigation of liability claims and provide exceptional customer service. The selected candidate will handle claims primarily for the states of Florida, Pennsylvania, and other mid-Atlantic jurisdictions based on business needs. With our One Team approach, the Claim staff partners with UW and Risk Control to meet the needs of valued agency partners and policyholders. Responsibilities include managing an inventory of claims handled within departmental guidelines, following best practices and procedures and budgetary guidelines. The selected candidate will evaluate coverage/compensability and may need to complete field investigations with a focus on quality claim handling leading to file resolution. This position can be located at FCCI office in Sarasota or Lake Mary, FL, Richmond, VA, or remote in FCCI territory in Florida and Mid-Atlantic Region.

In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package which includes:

• Paid Family Leave
• Competitive PTO & Holidays
• Recognition & Bonus Programs
• Employee Referral Bonus
• 401(k) Match & Profit-Sharing

The salary range for this position is $62,419-$96,126 annually. This salary range is an estimate and the actual salary will vary based on applicant's education, experience, knowledge, skills, and abilities.

We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Drug Free Workplace (*Pre-employment drug screen is conducted for all positions)

Qualifications

Experience

Required

• Bachelors degree or equivalent, NOTE: Relevant, progressively responsible work experience may be substituted on a year for year basis for the required education
• Minimum of four years commercial claim WC claim adjusting experience
• Valid driver's license and safe driving record
• Current active adjuster license in assigned jurisdiction
• Strong working knowledge of insurance claim procedures, rules, systems, and regulations
• Strong working knowledge of claim file management techniques and processes
• Strong working understanding of the judicial and legal systems. Knowledge of medical terminology
• Excellent communication, interpersonal, and organizational skills
• Ability to analyze, define and solve problems; the use of good judgment and decision-making
• Ability to interpret and explain insurance policy coverage and pertinent state regulations as applicable to the area of claims handling
• AIC, SCLA designation or other relevant and pertinent coursework or experience

Preferred

• Experience with the states of FL, MD, PA or VA are a plus

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.