• Claims Representative

    Job Locations US-MD
    Job ID
    2018-1444
    # of Openings
    1
    Department
    Claims
  • Overview

    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.

    Responsibilities

    This home-based position will be responsible for technical file management of workers’ compensation claims and account management. Requires frequent interaction with the account’s designated contact, case managers, medical providers, claimants and attorney. Will be required to manage a variety of cases ranging from minimal to high exposures.

     

    PRINCIPLE RESPONSIBILITIES/DUTIES:

     

    Client Management

    • Assume responsibility for account management while working closely with CSE if assigned; recognize unfavorable trends and inform management.
    • Participate in client meetings for training on claims issues and assist with claims service meetings for new accounts as requested.
    • Analyze and work with Underwriting and Loss Control to develop pro-active plans to correct unfavorable trends with existing clients. Report to management, Underwriting and Loss Control unsuccessful attempts to reverse unfavorable actions and adverse conditions.

     

    Claims Management

    • Conduct the required investigation on all workers' compensation claims assigned.
    • Handle all technical aspects of claims including coverage, disability benefit management, medical management, file management, litigation management, subrogation, reserving and settlement.
    • Maintain and demonstrate knowledge of the Workers' Compensation Act and Rules and Regulations in the jurisdictions assigned.
    • Immediately notify management of large exposures and comply with reinsurance reporting requirements.
    • Monitor expenses and effectiveness of inside/outside vendors.
    • Attend mediations.
    • Attend client visits and claim reviews.

    Qualifications

    • Possess a four-year college degree or equivalent work experience. Course work in business law and insurance is desirable.
    • Approximately two (2) years' experience in adjusting workers' compensation claims.
    • Adjuster's license for assigned jurisdiction - Maryland

    Possibility of Senior Claims Representative role, depending on experience.

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