Senior Claims Specialist - NJ Workers' Compensation at American Family Insurance Group

New Jersey, United States

American Family Insurance Group Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Insurance, Property and Casualty InsuranceIndustries

Requirements

  • A minimum of 10 to 13 years of New Jersey workers' compensation claims adjusting experience with higher exposure claims
  • Additional experience handling Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont workers’ compensation claims preferred, including active adjusters license where required
  • Innovative, high energy, resilient, determined, assertive, clever, and competitive personality
  • Knowledge of territory’s workers' compensation laws
  • Skilled at developing strategies to bring claims to resolution
  • Ability to work from a home office with occasional travel (may require overnight travel to tri-annual claim reviews and/or departmental meetings)
  • Physical ability for sedentary work: prolonged sitting, continuous use of computer

Responsibilities

  • Investigating losses
  • Analyzing coverage, determining compensability and benefits
  • Establishing reserves and negotiating settlements
  • Conducting meetings on the phone with insureds and claimants
  • Preparing large loss reports to both internal and external audiences
  • Attending settlement conferences as assigned
  • Working closely with defense attorneys and other vendors including medical case management, surveillance, etc
  • Adjusting workers' compensation claims with high potential exposure using an aggressive and proactive approach

Skills

Key technologies and capabilities for this role

Workers CompensationClaims HandlingClaims ProcessingInsurance ClaimsRisk ManagementClaims Investigation

Questions & Answers

Common questions about this position

What is the work arrangement for this Senior Claims Specialist role?

The position involves working from an office in your home with occasional office visits implied by the cutoff description.

What salary or compensation is offered for this position?

This information is not specified in the job description.

What skills and qualities are required for the Senior Claims Specialist role?

Candidates need experience investigating and adjusting workers' compensation claims with high exposure, knowledge of territory comp laws, and skills in developing resolution strategies. They should be innovative, high energy, resilient, determined, assertive, clever, competitive, and view claims as puzzles to solve.

What is the company culture like at Strategic Comp and Great American Insurance Group?

The company combines a 'small company' culture where ideas are heard with 'big company' expertise, values diverse backgrounds for inclusion and empowerment, and boasts 98% employee job satisfaction with high passion and energy.

What makes a strong candidate for this Senior Claims Specialist position?

A strong candidate is proactive and aggressive in claims adjusting, skilled at strategy development for resolutions, knows local workers' comp laws, and possesses innovative, high-energy, resilient, determined, assertive, clever, and competitive traits.

American Family Insurance Group

About American Family Insurance Group

N/AHeadquarters
N/AYear Founded
N/ACompany Stage

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