Berkley
Senior Workers' Compensation Claims Representative
Berkley, Westbrook, Maine, us, 04098
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 & Poor’s.
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.
ResponsibilitiesInvestigate, 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 company’s 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 Acadia’s business.
Maintain a strong relationship and frequent communication with Acadia’s 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
7-10 years of Maine Workers’ Compensation claims handling.
Bachelor's degree (B. A.)or equivalent combination of education and experience.
Excellent organizational skills, ability to handle multiple tasks and effectively prioritize workload.
Demonstrated depth in negotiation and claims resolution skills.
Strong computer skills and ability to work with multi-faceted systems.
Ability to effectively and independently manage complex workload while exhibiting very sound judgment.
Excellent written and verbal communication skills.
Demonstrated ability to develop and maintain relationships with agents and other departments while exemplifying superior teamwork.
Advanced professional insurance coursework (i.e., AIC, CPCU) or completion of other insurance-related classes is preferred.
Valid Driver’s License is required.
The Company is an equal employment opportunity employer
Additional Company Details
*The above job description is not intended to be an “all-inclusive” list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job.Sponsorship Details
Sponsorship not Offered for this Role
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 & Poor’s.
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.
ResponsibilitiesInvestigate, 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 company’s 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 Acadia’s business.
Maintain a strong relationship and frequent communication with Acadia’s 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
7-10 years of Maine Workers’ Compensation claims handling.
Bachelor's degree (B. A.)or equivalent combination of education and experience.
Excellent organizational skills, ability to handle multiple tasks and effectively prioritize workload.
Demonstrated depth in negotiation and claims resolution skills.
Strong computer skills and ability to work with multi-faceted systems.
Ability to effectively and independently manage complex workload while exhibiting very sound judgment.
Excellent written and verbal communication skills.
Demonstrated ability to develop and maintain relationships with agents and other departments while exemplifying superior teamwork.
Advanced professional insurance coursework (i.e., AIC, CPCU) or completion of other insurance-related classes is preferred.
Valid Driver’s License is required.
The Company is an equal employment opportunity employer
Additional Company Details
*The above job description is not intended to be an “all-inclusive” list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job.Sponsorship Details
Sponsorship not Offered for this Role