Claims Representative II

Join to apply for the Claims Representative II role at Key Risk (a Berkley Company).

Key Risk is a leading provider in the workers' compensation industry with over 35 years of expertise. The company delivers innovative solutions and has a strong track record of reducing exposures and delivering industry‑leading results.

The company is an equal opportunity employer.

• Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim.
• Negotiates settlement of claims up to designated authority level and makes claims payments.
• Calculates and assigns timely appropriate reserves to claims and manages reserve adequacy throughout the life of the claim.
• Calculates and pays benefits due; approves all claim payments; settles claims within designated authority level.
• Develops and manages claims through well‑developed action plans; works the action plan to bring the claim to an appropriate and timely resolution.
• Prepares necessary state filings within statutory limits.
• Actively manages the litigation process; ensures timely and cost‑effective claims resolution.
• Coordinates vendor referrals for additional investigation and/or litigation management.
• Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims.
• Frequently communicates with all appropriate parties involved with the claim.
• Maintains professional client relationships.
• Actively executes appropriate claims activities to ensure consistent delivery of quality claims services.

• BA/BS Degree.
• 2-3 years of workers' compensation claims experience.
• Adjuster license strongly desired or ability to obtain license within six months.
• Knowledge of appropriate insurance principles and laws of workers’ compensation, preferably jurisdiction specific.
• Strong verbal and written communication.
• Strong interpersonal, time management and organizational skills.
• Strong negotiation skills.
• Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to detail.
• Ability to perform with a sense of urgency.
  
  Ability to work both independently and within a team environment.
• Ability to travel for business purposes, approximately less than 10%.

Sponsorship not Offered for this Role.

• Associate

• Full‑time

• Finance and Sales

• Financial Services and Insurance