Workers Compensation Claims Technical Specialist
Charlotte, NC 
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Posted 1 month ago
Job Description
Description

At Selective, we don't just insure uniquely, we employ uniqueness.

Our Business

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years.Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2023 and certification as a Great Place to Workin 2023.

Working at Selective

At Selective, we don't just insure uniquely - we employ uniqueness. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.

Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and paid time off plans. Additional details about our total rewards package will be provided during the recruiting process.

Click to learn more about the Selective Claim Culture and why Selective is right for YOU!

Selective Insurance is looking for a Workers Compensation Claims Technical Specialist for our Charlotte, NC office. This is a hybrid position with the possibility of remote available for the right candidate residing outside of NC/SC.

In this role the ideal candidate will manage complex/catastrophic worker's compensation claims. Management will include potential investigation, medical management, litigation and negotiations. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

JOB RESPONSIBILITIES:

  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
  • Analyze information in order to evaluate assigned claims to determine the extent of exposure and develop plans for managing the loss.
  • Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
  • Manage medical treatment and cost containment using approved vendors and protocol
  • Implement return-to-work strategies or vocational retraining as warranted.
  • Evaluate, negotiate and settle both non-litigated and litigated claims within delegated authority. Handle all aspects of litigation.
  • Comply with all jurisdictional and federal requirements in resolution of claims.
  • Update ACS on a continual basis to accurately reflect status of each assigned claim. Documenting clearly all aspects of claim activity.
  • Receive and approve expenses incurred to investigate, process, and handle a claim.
  • Explore subrogation potential on all claims. Prepare for and participate in claims review and settlement conferences.
  • Close claims via settlement, return-to-work with maximum medical improvement, or evaluate for long term management.
  • Must maintain appropriate licensures.

JOB QUALIFICATIONS:

  • College degree preferred.
  • 7-10 years claims experience that involve some complexity and being able to settle those claims.
  • Must be able to handle complex workers' compensation claims from start to finish.

The expected starting salary range for this role is$82,000-118,000. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.

Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.

Selective maintains a drug-free workplace.

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Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
7 to 10 years
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