Senior Claims Specialist - Worker's Compensation
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Responsibilities
- A detailed list of job duties includes (but is not limited to):
- Generally works independently, handling the most complex matters, and has settlement and draft authority of up to designated amount based on experience.
- Conducts complete investigation of losses through any appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence.
- Evaluates liability and damages; identifies subrogation/salvage opportunities or suspicious claims.
- Prepares timely, concise reports as required.
- Promptly establishes and maintains accurate reserves.
- Verifies, analyzes and correctly applies coverage.
- Develops strategy and negotiates claims to a timely conclusion, properly applying company and department policies and procedures.
- Decides on conclusion of loss (e.g. pay, deny compromise) based upon analysis of the facts, liability, and statutory/case law.
- Determines need for and provides direction to defense counsel, independent adjusters or other technical experts, and monitors and controls their costs.
- Attends hearings, pre-trial settlement, conferences, trials, etc., as required.
- Keeps agents, insurers, Agency OPS and Corporate Claims advised of file status and other matters as required.
- Frequently involved in meetings or visits to agents, insurers, prospects, clients etc. and in Large Account matters.
Requirements
- Proficiency in Microsoft Office (Excel, Word) and systems navigation
- Ability to travel as needed for client meetings and team collaboration
- Self-motivated and adaptable, with strong independent work habits
- Effective interviewing, analytical, and problem-solving skills
- Strong communication, time management, and organizational abilities
- Ability to manage conflict and navigate challenging claim situations
Benefits
Additional Information
Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and "bring it" every day, EPIC is always looking for people who have "the right stuff" - people who know what they want and aren't afraid to make it happen. Headquartered in New York City and founded in 2007, our company has over 4,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team! JOB OVERVIEW: The Senior Claims Specialist manages the full lifecycle of Workers' Compensation claims , delivering thorough investigation and analysis while developing trusted relationships with clients and stakeholders to drive efficient, high-quality claim outcomes. LOCATION: HYBRID - Carmel, Indiana office (3 days/week in office); open to remote for highly qualified candidates.
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