Senior Workers' Comp Claims Strategist

MEM; Nebraska; On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Health Plans (Medical, Dental, Vision)

401k Retirement Plan with employer-m**

Paid Time Off and Holidays

Life and Disability Benefits

Employee Assistance Programs

Job summary

MEM Insurance is seeking a Senior Claims Representative to lead and manage highly complex workers’ compensation claims in Nebraska. You will mentor junior adjusters, lead investigations into coverage and fraud, and partner with legal and medical teams to drive compliant, high-value outcomes.

You’ll influence settlements, manage Medicare compliance initiatives, and collaborate across departments to improve processes while delivering exceptional service to policyholders and injured workers.

Qualifications

• Bachelor’s degree in business or related field or equivalent industry experience.
• 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.
• Valid driver’s license required.

Responsibilities

• Manage highly complex workers’ compensation claims with significant exposure.
• Lead investigations into coverage, fraud, and loss prevention.
• Oversee settlements, negotiations, and Medicare compliance initiatives.
• Mentor junior adjusters and lead cross-department collaboration.

Skills

Leadership

Mentoring

Investigations

Regulatory compliance

Education

Bachelor’s degree or equivalent

AIC/AIM/CPCU designation preferred

Texas All-Lines license preferred

Job description

MEM Insurance is seeking a Senior Claims Representative to lead and manage highly complex workers’ compensation claims in Nebraska. You will mentor junior adjusters, lead investigations into coverage and fraud, and partner with legal and medical teams to drive compliant, high-value outcomes.

You’ll influence settlements, manage Medicare compliance initiatives, and collaborate across departments to improve processes while delivering exceptional service to policyholders and injured workers.