Senior Workers' Comp Claims Leader

memployersmins; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health plans

401k with match

Paid parental leave

Wellness program

Job summary

MEM Insurance is seeking a Senior Claims Representative to join our Claims team in the United States. You will manage highly complex workers’ compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes.

You will mentor junior adjusters, support settlements, and ensure regulatory compliance while delivering exceptional service. A strong background in high-exposure claims and subrogation is essential.

Qualifications

• Bachelor’s degree or equivalent industry experience preferred.
• 7–10 years of claims handling experience, with high exposure to Workers’ Compensation.
• AIC, AIM, or CPCU designation preferred or ability to obtain.
• Texas All-Lines license preferred.

Responsibilities

• Manage highly complex workers’ compensation claims with significant financial exposure.
• Lead investigations into coverage, fraud, and subrogation when applicable.
• Oversee medical case management and negotiate settlements.
• Mentor junior adjusters and lead process improvements.

Skills

7–10 years claims handling experience

High exposure claims

Mentor junior adjusters

Education

Bachelor’s degree or equivalent

AIC/AIM/CPCU designation preferred

Job description

MEM Insurance is seeking a Senior Claims Representative to join our Claims team in the United States. You will manage highly complex workers’ compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes.

You will mentor junior adjusters, support settlements, and ensure regulatory compliance while delivering exceptional service. A strong background in high-exposure claims and subrogation is essential.