Senior Workers' Comp Claims Lead - Complex Case Expert

Triwill Group; Northern (KY); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Triwill Group is seeking a Senior Workers' Compensation Claims Specialist based in the United States. This role manages complex claims from intake through resolution, requiring investigation, compensability assessment, reserve setting, and strategy development.

Collaboration with case managers, attorneys, customers, claimants and other stakeholders is essential throughout the claims lifecycle. The position emphasizes strong judgment, analysis, risk evaluation, cost control, and settlement

Qualifications

• Senior-level experience in complex Workers’ Compensation claims.

Responsibilities

• Manage complex Workers’ Compensation claims from intake through resolution.
• Investigate claims, assess compensability, establish reserves, and develop strategies.
• Collaborate with case managers, attorneys, customers, claimants and stakeholders throughout the lifecycle.

Skills

Claims management

Analytical skills

Negotiation

Job description

Triwill Group is seeking a Senior Workers' Compensation Claims Specialist based in the United States. This role manages complex claims from intake through resolution, requiring investigation, compensability assessment, reserve setting, and strategy development.

Collaboration with case managers, attorneys, customers, claimants and other stakeholders is essential throughout the claims lifecycle. The position emphasizes strong judgment, analysis, risk evaluation, cost control, and settlement