Senior Workers' Compensation Claims Specialist

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

Description:

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Workers' Compensation Claims Specialist based in United States.

This role is responsible for managing complex and high-profile Workers’ Compensation claims from initial intake through resolution.
You will investigate claims, assess compensability, establish reserves, and develop strategies focused on achieving effective outcomes.
The position requires close collaboration with case managers, attorneys, customers, claimants, and other stakeholders throughout the claims lifecycle.
You will also oversee subrogation, litigation, recoveries, and return-to-work initiatives while maintaining compliance with applicable regulations.
Strong judgment and analytical skills will be essential when evaluating risks, controlling claim costs, and negotiating settlements.
The role combines independent decision-making with team collaboration and opportunities to support the development of claims expertise across the organization.
This is a strong opportunity for an experienced claims professional seeking a senior-level role with meaningful responsibility for complex Workers’ Compensation matters.