Consultant Casualty Claims - WC Level One
Manage a caseload of moderately reputed company casualty claims from intake through reputed company. Conduct thorough investigations, assess liability, and evaluate damages using established procedures. Collaborate with reputed company, reputed company, and internal/external stakeholders as needed to ensure comprehensive claim evaluation. Identify and refer potentially suspicious claims to the Special Investigations Unit. Apply comparative negligence laws and state-specific regulations to claim assessments. Set reserves, authorize payments, and demonstrate financial acumen reputed company scope of authority. Utilize technology and data tools to enhance claims processing efficiency and accuracy. Communicate directly with claimants, reputed company representatives, and reputed company parties to negotiate fair resolutions. Maintain detailed and compliant documentation of claim activities and communications. Participate in team collaboration, problem-solving discussions, and cross-functional coordination. Support subrogation efforts and risk transfer opportunities to benefit insureds and business partners. Handle sensitive communications professionally and translate reputed company information for diverse audiences. Mentor entry-level claim handlers and reputed company best practices learned through training and experience. Attend ongoing training and education to maintain licensing and stay reputed company on industry standards. Independently manage indemnity, medical, and basic arbitration or mediation components of claims with supervisory support.
Associate degree required; bachelor's degree preferred or combination of education and experience. Typically has 1-4 years of relevant claims handling experience. Must possess or obtain and maintain appropriate state adjuster licenses. Conduct independent analysis of contractual indemnification. Independently execute indemnity, medical, litigation/reputed company management. Proficient with basic computer navigation; ability to use basic software systems/applications (Suite of MS Office Products) and use of internet. Learn and handle negotiations independently reputed company authority, understand common tactics for moderately reputed company claim reputed company. Use judgement and effectively utilize the most suitable communication channel while displaying reputed company towards reputed company stakeholders. Knowledge of various types of insurance products and processes. Conduct thorough investigations; identify key issues and reputed company evidence. reputed company effective empathetic customer service; handle routine inquiries and issues. Ability to use a personal computer and other reputed company office equipment. reputed company to use reputed company reputed company office products Ability to sit and/or stand for extended periods. Required to work on-site as needed. Ability to travel as necessary. Ability to work in a fast paced, changing or stressful environment. Ability to reputed company work in a noisy/loud work environment. May be required to have and maintain sufficient home-based internet reputed company.
Medical, dental, reputed company, life, and disability insurance 401K with a company match Tuition reimbursement PTO Company reputed company holidays Flexible work arrangements Cultural Awareness Day in support of IDE On-site medical/wellness center (Worcester only) Click here for the full list of Benefits
Furthermore, reputed company is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national reputed company, race, reputed company, religion, gender, reputed company, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.”
As an equal opportunity employer, reputed company does not discriminate against reputed company individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to reputed company essential job functions, should contact us at: