Technical Claims Specialist - Worker's Compensation

Davita Inc.; New York (NY); Remote; USD 80,000 - 120,000; Full time

Job summary

A leading insurance company is seeking a Technical Claims Specialist in Worker's Compensation to provide support and oversight for complex claims. The ideal candidate will have significant experience in claims management and will lead initiatives to enhance processes. This full-time role offers competitive benefits and opportunities for professional growth.

Benefits

Medical & Dental Plans

401k Savings Plans

Paid Time Off

Qualifications

• 7-10+ years of Workers Compensation claim handling experience.
• Ability to manage highly technical claim staff.
• Knowledge source for adjusters.

Responsibilities

• Assume co-ownership for outcomes on claims under oversight.
• Serve as primary point of contact for critical national initiatives.
• Conduct training, drive initiatives and develop reports.

Skills

Strong communication skills

Project management

Mentoring and training

Process improvement

Education

CPCU, AIC designation

Adjuster licensing program

Job description

Technical Claims Specialist - Worker's Compensation

Job Locations

US

Requisition ID

JR1004209

Category

Claims - Workers Compensation

Position Type

Regular Full-Time

Overview

AmTrust Financial Services, a fast-growing commercial insurance company, has an immediate need for a Technical Claims Specialist in our Worker's Compensation Department. This person will focus on providing support and technical oversight for complex or high-risk workers compensation claims.

Responsibilities

Assume co-ownership for the outcomes on claims under oversight.
• Serve as the primary point of contact and business owner for critical national initiatives, with ownership for how those programs are performing and their results.
• Manage or participate as a SME in complex projects and initiatives for the WC line of business.
• Participate with senior leadership with develop, implementation, and training to new process, technology, and metrics.
• Responsible for LOB reserve adequacy, audits, reporting, etc.
• Development of WC guidelines, policies, procedures, standards, and best practices.
• Identify and pursue ways to reduce inefficiencies in claim processes.
• Conduct training, drive initiatives, action planning, development planning, and process improvement within region.
• Develop reports, evaluate trends, and drive outcomes within region.
• Serve as subject matter expert for the claims group and assist in cross departmental projects and initiatives.

Qualifications

• CPCU, AIC designation, adjuster licensing program or other industry training programs a plus
• 7-10+ years of Workers Compensation claim handing experience.
• Ability to manage highly technical claim staff.
• Ability to mentor, train, and be a leader within the organization.
• Ability to provide claim oversight and direction on complex claim issues.
• Strong communication skills with ability to present to senior leadership.
• Knowledge source for adjusters
• Ability to develop reports, metrics, and process improvement plans.
• Ability to independently manage multiple projects and project teams.

#LI-BL1

#LI-REMOTE

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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