Claims Representative I Details

Claims Representative I

Berkley - Charlotte, NC

Employment Type : Full-Time

Company Details:
Key Risk, a member of Berkley Insurance Company, is a leading provider of workers compensation insurance products and services for employers throughout the eastern United States. With a sole focus on workers compensation, Key Risk works with Key Alliance agents, insurance clients, self-insured employers, and the injured workers they support to create solutions specific to their needs. Enriching each client's risk management strategies, Key Risk creates and executes comprehensive solutions proven to protect people, support business, and exceed expectations.
Committed to delivering better outcomes and industry leading service, Key Risk operates from headquarters in Greensboro, NC and through regional offices and territory-dedicated staff in the states of Pennsylvania, Maryland, Virginia, North Carolina, South Carolina, Tennessee, Alabama and Georgia. This regional approach provides agents and clients with the benefit of working with experts who have first-hand knowledge of the local workers compensation market.
Key Risk is committed to fostering a professional work environment for all its employees. Through an ongoing commitment to innovation, continuous improvement and education, Key Risk attracts and retains associates with a unique blend of workers compensation expertise and a passion for excellence. We are proud to have been recognized among Business Insurance's Best Places to Work in 2009, 2011, 2015, and most recently in 2017.
Click here to learn more about working at Key Risk.Responsibilities: Key Risk is looking for a claims professional who enjoys analysis and management of workers compensation claims.
Key functions include but are not limited to the following:

• Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
• Negotiate settlement of claims up to designated authority level and makes claims payments.
• Calculates and assigns timely an appropriate reserves to claims and continues to manage reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves all claim payments; and settles claims within designated authority level.
• Develops and manages claims though well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution.
• Prepares necessary state filings within statutory limits.
• Actively manages the litigation process; ensures timely and cost-effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
• Frequently communicates with all appropriate parties involved with the claim.
• Maintains professional client relationships.
• Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.

Qualifications:

• BA/BS Degree
• 0-2 years of workers compensation claims experience
• Adjuster license strongly desired or ability to obtain license within six months
• Knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific.
• Strong verbal and written communication
• Strong interpersonal, time management and organizational skills.
• Strong negotiation skills.
• Proven critical thinking skills that demonstrates analysis/judgment and sound decision making with focus on attention to detail.
• Ability to perform with a sense of urgency.
• Ability to work both independently and within a team environment.
• Ability to travel for business purposes, approximately up to 10%.

Additional Company Details: The Company is an equal employment opportunity employer. Additional Requirements: Must be fully vaccinated and remain fully vaccinated against COVID-19.* *Per the CDC, fully vaccinated means at least 2 weeks after (1) a second dose in a 2-dose series, or (2) a single-dose vaccine, and this status and definition applies to COVID-19 vaccines currently authorized for emergency use or approved by the U.S. Food and Drug Administration.