Senior Workers' Comp Claims Specialist

Old Republic Commercial Risk; Greensboro (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Old Republic Commercial Risk in Greensboro, NC seeks an experienced claims professional to independently investigate, evaluate, and resolve high‑complexity workers’ compensation claims. You will administer and close claims in a timely manner in compliance with statutes, policy provisions and company guidelines.

You will determine coverage and compensability, negotiate settlements, establish reserves, and work with PMA nurses to implement return‑to‑work strategies. Travel is occasional.

Qualifications

• Bachelor's degree or four+ years of equivalent work experience in an insurance related industry.
• 3-5 years' experience handling lost time workers' compensation claims; NC/SC/MS jurisdiction experience required.
• Active license required or ability to obtain license within 90 days of employment.
• Familiarity with medical terminology and Workers' Compensation.
• Proficient in MS Office Product Suite (Word, Excel, PowerPoint).

Responsibilities

• Promptly investigate all assigned claims with minimal supervision, including complex ones.
• Determine coverage, compensability, subrogation recovery, and second injury fund when applicable.
• Alert Supervisor and SIU to potentially suspect claims.
• Ensure timely denial or payment of benefits per jurisdictional requirements.
• Establish reserves with rationale and adjust over the life of the claim.

Skills

Workers' Compensation

Investigation

Complex claims

Negotiation

Communication skills

Time management

Education

Bachelor's degree

Tools

MS Office

Job description

Old Republic Commercial Risk in Greensboro, NC seeks an experienced claims professional to independently investigate, evaluate, and resolve high‑complexity workers’ compensation claims. You will administer and close claims in a timely manner in compliance with statutes, policy provisions and company guidelines.

You will determine coverage and compensability, negotiate settlements, establish reserves, and work with PMA nurses to implement return‑to‑work strategies. Travel is occasional.