WC Sr. Claims Examiner

W. R. Berkley Corporation; Minneapolis (MN); On-site; USD 90,000 - 100,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

Wellness programs

Paid time off

401(k)

Profit-sharing

Job summary

W. R. Berkley Corporation is seeking an experienced workers' compensation claims professional in Minneapolis to manage a complex caseload, including extended disability cases and litigation.

You will handle all technical aspects of claim management, ensure compliance with performance guidelines, and collaborate with clients, counsel, and medical professionals to secure favorable outcomes. The role emphasizes accurate reserving, effective communication, and proactive claim resolution while

Qualifications

• Excellent communication and presentation skills.
• Must interface with clients, legal counsel, health care professionals, etc.
• Good math and analytical ability.
• Strong customer service orientation.
• Experience in workers' compensation claims management and subrogation.

Responsibilities

• Manage a caseload of workers' compensation and extended disability claims.
• Investigate claims, determine compensability, and document actions.
• Establish and maintain case reserves and claim timelines.
• Oversee medical treatment and assist injured workers to return to work.
• Communicate with clients and respond to inquiries professionally.
• Identify loss trends and report to supervisor or clients.
• Subrogation: investigate and pursue recoveries where applicable.
• Support client reviews and perform other duties as assigned.

Skills

Communication

Interpersonal skills

Analytical ability

Customer service

Subrogation knowledge

Education

BA/BS degree

Job description

Company Details

We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.

Responsibilities

Responsible for managing a caseload consisting of incoming and more complex workers' compensation cases including extended disability cases, litigation, employer's liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.

• Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
• Document claim handling activities; create and document action plans.
• Establish appropriate case reserves.
• Actively manage medical treatment and disability while assisting the injured worker to return to work.
• Comply with all performance guidelines.
• Identify loss trends and communicate to supervisor and/or clients.
• Use automated diary system to issue indemnity payments and for claims management.
• Investigate and manage claim subrogation and negotiate settlements.
• Manage coverage B or conflict of interest cases as assigned.
• Address customer complaints and inquiries in an exemplary and professional manner.
• Participate in client claim reviews when scheduled or requested.
• May perform other functions as assigned.

Qualifications

• Demonstrated working knowledge of workers' compensation administration rules/laws.
• Excellent communication and presentation skills.
• Must be able to interface with clients, legal counsel, health care professionals, etc.
• Good math and analytical ability.
• Excellent customer service skills.
• Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system.

Education

• BA/BS degree with three years' experience. Experience must include litigation, subrogation and complex medical/legal issues; or two years post-high school education and five years' experience in workers compensation claims management.

Additional Company Details

The Company is an equal employment opportunity employer. We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees.

Base salary & Benefits include

• Health
• dental
• vision
• life
• disability
• wellness
• paid time off
• 401(k)
• profit-sharing plans

Salary Range: $$90,000 - $100,000 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.

Additional Requirements

• - Travel: Occasional travel.