Senior Workers' Compensation Claims Representative

W. R. Berkley Corporation; Bedford (NH); On-site; USD 90,000 - 105,000; Full time

Benefits offered by this job

Annual bonus

Benefits package

Job summary

Acadia Insurance, a regional property casualty insurer and part of W.R. Berkley Corporation, is seeking a Senior Workers' Compensation Claims Representative in New Hampshire.

The role involves investigating, evaluating, and resolving claims in compliance with state requirements and company standards. Responsibilities include on-site investigations, communicating with insureds, claimants, attorneys, and agents, negotiating settlements, and managing reserves for exposure.

Qualifications

• Bachelor's degree and 5+ years of related experience.
• NH/Maine WC Lost Time claims experience.
• NH WC adjuster license required.
• Strong communication and negotiation skills.
• Valid Driver's License.
• Advanced professional insurance coursework preferred.

Responsibilities

• Investigate, evaluate and resolve workers' compensation claims.
• Communicate findings to insureds, claimants, attorneys and agents.
• Conduct detailed claim investigations including on-site reviews.
• Manage reserves and escalate high-exposure cases.
• Negotiate settlements in good faith.
• Manage litigated claims with defense counsel.
• Maintain documentation in a paperless system.
• Collaborate with other departments on claim trends.
• Foster relationships with agency partners.

Skills

Negotiation

Organization

Written comms

Verbal comms

Computer skills

Relationship building

Workload management

Judgment

Education

Bachelor's degree

Tools

MS Word

Excel

Job description

Company Details

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor's. At Acadia, we value our employees, our customers and our communities. Employees at Acadia are part of a progressive company where everyone can make a difference. We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.

Company URL: https://www.acadiainsurance.com/

Responsibilities

The Senior Workers' Compensation Claims Representative is responsible for investigating, evaluating, and resolving assigned workers' compensation claims in accordance with company standards, procedures, and state regulatory requirements.

• Investigate, evaluate and resolve claims in accordance with company standards, procedures, and state regulatory requirements.
• Analyze and determine specific facts of loss to reach appropriate decisions and effectively communicate the company's compensability decisions.
• Compose a variety of written communications to insureds, claimants, attorneys and agents in a professional and error-free manner.
• Conduct detailed, comprehensive claim investigations including possible on-site scene examinations and in-person witness interviews when appropriate and necessary.
• Evaluate and document exposure to ensure accurate and timely reserves; immediately upscale to management cases with significant exposure.
• Negotiate effectively and in good faith to achieve fair and accurate claim settlements.
• Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or hearing decisions, as appropriate.
• Retain vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses.
• Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service.
• Effectively present cases in roundtable discussions with peers and members of management at all levels.
• Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications.
• Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia's business.
• Maintain a strong relationship and frequent communication with Acadia's agency partners.
• Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process.
• Attend internal and external seminars and other training events and provide feedback to peers and/or members of management.
• Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements.
• Pursuit of industry-related professional designations is encouraged.
• Perform other duties as assigned.

Qualifications

Qualifications:

• 5 years of New Hampshire and/or Maine Workers' Compensation Lost Time claims handling experience.
• Valid NH WC adjuster license.
• Excellent organizational skills with the ability to handle multiple tasks and effectively prioritize workload.
• Demonstrated depth in negotiation and claims resolution skills.
• Strong computer skills and ability to work with multi-faceted systems.
• Ability to effectively and independently manage a complex workload while exhibiting very sound judgment.
• Excellent written and verbal communication skills.
• Demonstrated ability to develop and maintain relationships with agents and other departments while exemplifying superior teamwork.
• Advanced professional insurance coursework (i.e., AIC, CPCU) or completion of other insurance-related classes is preferred.
• Valid Driver's License is required.
• The Company is an equal employment opportunity employer.

Education Requirement

• Bachelor's degree (B.A.) and a minimum of 5 years of related experience and/or training, or an equivalent combination of education and experience.

Additional Company Details

We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including:

• Base Salary Range: 90k-$105k
• Eligible to participate in annual discretionary bonus
• Benefits include: Health, dental, vision, dental, 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