Senior Claims Specialist

Berkley Industrial Comp (a Berkley Company); Las Vegas (NV); On-site; USD 80,000 - 105,000; Full time

Benefits offered by this job

Annual bonus

Health insurance

401(k) with profit-sharing

Job summary

Berkley Industrial Comp in Las Vegas, NV seeks a senior claims professional to manage complex and catastrophic workers’ compensation claims across jurisdictions. You will lead investigations, assess coverage, and guide settlements with underwriters, risk managers, and clients.

The role requires extensive experience, an active adjuster license, and strong negotiation and analytical skills. Competitive base salary with discretionary annual bonus and robust benefits are offered.

Qualifications

• 7+ years of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims
• Ten (10) years’ experience preferred
• Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance
• Strong interpersonal, analytical, and negotiation skills

Responsibilities

• Oversee catastrophic and large loss claims from beginning to resolution
• Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement
• Verify and interpret coverage issues
• Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary)
• Resolve problems involving multi-faceted claims handling
• Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies
• Determinate appropriate reserves to adequately reflect exposure of losses
• Attend and participate in training sessions to the accounts or account visits and claim reviews

Skills

Negotiation

Interpersonal skills

Analytical skills

Education

Bachelor’s degree or equivalent

Job description

Company Details

Berkley Industrial Comp provides best in class workers’ compensation insurance solutions to high hazard industries. BIN’s mission is to provide an unparalleled customer experience within the high hazard workers’ compensation market. BIN achieves its mission by focusing on the following core values:

• Integrity – Do the right thing, always. Build trust through honesty, transparency, and consistency.
• Exceeding Expectations – Go beyond “good enough.” Deliver standout results and raise the bar every time.
• Empowerment – Equip and trust people. Encourage initiative, decision-making, and growth.
• Expertise – Stay sharp. Apply deep knowledge and continuous learning to deliver smart solutions.
• Community – Connect with purpose. Foster belonging, respect, and shared success.

https://www.berkindcomp.com/

Responsibilities

This position is responsible for managing complex and/or catastrophic claims within all jurisdictions. This includes investigation, evaluation, and resolution of claims. Interface with underwriting, risk management, case management, clients, and vendors as appropriate in controlling costs and loss ratios and providing the claimant with appropriate care. Provide leadership of day to day activities on large loss and catastrophic claims

Key functions include but are not limited to the following:

• Oversee catastrophic and large loss claims from beginning to resolution.
• Manage all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
• Verify and interpret coverage issues.
• Consult with attorneys, assist in negotiation of settlement, mediations and trials (attend trials as necessary).
• Resolve problems involving multi-faceted claims handling.
• Investigate, evaluate, and negotiate claims toward resolution and provide medical needs within jurisdictional guidelines and Berkley Industrial Comp philosophies.
• Determinate appropriate reserves to adequately reflect exposure of losses.
• Attend and participate in training sessions to the accounts or account visits and claim reviews.

Qualifications

• Bachelor’s degree with concentration in law, public administration, business, nursing or insurance OR equivalent work experience.
• 7+ years of experience adjusting workers’ compensation claims with significant experience handling Workers’ Compensation claims. Ten (10) years’ experience preferred.
• Experience in catastrophic and/or large losses preferred.
• Possess and maintain a professional adjusting license in all jurisdictions applicable or obtained within one year of job acceptance.
• Strong interpersonal, analytical, and negotiation skills

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms.

Benefits

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:

• Base Salary Range: $80,000 - $105,000
• Eligible to participate in annual discretionary bonus.
• Benefits: 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.

Sponsorship Details

Sponsorship not Offered for this Role