Senior Workers' Compensation Claims Representative

Company Details

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As a member of W.R. Berkley Corporation (NYSE : WRB) one of the largest property casualty insurance holding companies in the United States our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A (Superior) by A.M. Best with an A claim paying ability rating by Standard & Poors.

At Acadia we value our employees our customers and our communities. Employees at Acadia are part of a progressive company where everyone can make a difference. We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.

Company URL : evaluate and resolve assigned claims in accordance with company standards procedures and state regulatory requirements.

• Investigate evaluate and resolve claims in accordance with company standards procedures and state regulatory requirements.
• Analyze and determine specific facts of loss to reach appropriate decisions and effectively communicate the companys compensability decisions.
• Compose a variety of other written communications to insureds claimants attorneys and agents in a professional and error-free manner.
• Conduct detailed comprehensive claim investigations including possible on-site scene examinations and in-person witness interviews when appropriate and necessary.
• Evaluate and document exposure to ensure accurate and timely reserves; immediately escalate to management cases with significant exposure.
• Negotiate effectively and in good faith to achieve fair and accurate claim settlements.
• Proactively manage litigated claim files from inception to closure including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or hearing decisions as appropriate.
• Retain vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses.
• Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service.
• Effectively present cases in roundtable discussions with peers and members of management at all levels.
• Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications.
• Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadias business.
• Maintain a strong relationship and frequent communication with Acadias agency partners.
• Work proficiently with various computer programs including MS Word Excel and other applications used in the claim handling process.
• Attend internal and external seminars and other training events and provide feedback to peers and / or members of management.
• Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements.
• Pursuit of industry-related professional designations is encouraged.
• Perform other duties as assigned.

Qualifications

Education

Bachelors degree (B. A.) and minimum of 7-10 years of related experience and / or training or equivalent combination of education and experience.

Qualifications

The Company is an equal employment opportunity employer

Additional Company Details

We do not accept unsolicited resumes from third party recruiting agencies or firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees including :

Base Salary Range : 80k-$110k

Benefits include : Health dental vision dental life disability wellness paid time off 401(k) and profit-sharing plans

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.

Sponsorship Details

Sponsorship not Offered for this Role

Required Experience :

Senior IC

Key Skills

Corporate Paralegal,Baan,IT Sales and Marketing,Civil Quality Control,Activex,Jboss

Employment Type : Full-Time

Experience : years

Vacancy : 1