JOB REQUIREMENTS: Technical Claim Specialist- Workers Compensation Job
Locations US \| US-WI-Milwaukee \| US-WI-Merrill \| US-WI-Madison \|
US-PA-Mechanicsburg \| US-CO-Greenwood Village ID 20243341 Category
Claim Type Regular Full-Time Introduction Looking to join a vibrant
organization that makes a difference? At Church Mutual, we Stand for
Good: Our work is powerful, inspiring and meaningful because we serve
those who serve others. We specialize in insuring purpose-driven
organizations, leading the way in markets that include nonprofit and
human services organizations, religious institutions of all
denominations, schools, senior living communities, and camps and outdoor
recreation facilities. We foster a workplace where all employees are
treated with dignity and respect. Diversity, inclusion and belonging are
woven into the fabric of our company through our customers, employees,
leadership, business relationships and outreach programs. What you\'ll
be doing: Responsible for handling large, complex claim files, including
litigated matters, catastrophic claims, umbrella claims, punitive damage
claims, severe injury, long duration indemnity, permanent total
disability, structural building damage, multiple location damage,
including business income exposure and other extensive exposure claims,
in accordance with applicable state and federal laws. Set reserves and
settle claims within level of authority. Direct work of defense
attorney. Actively share knowledge with team members, contribute to
training programs, and mentor other claim representatives. On any given
day, you\'ll: I. Perform claim tasks timely and document claim files
appropriately. Proactively manage claim activities to ensure fair claim
resolution. Handle all claims in accordance with state and federal laws.
II. Make complex coverage decisions by gathering information necessary
to make an informed decision in a fair, equitable, and ethical manner.
Deny losses within authority level, providing detailed explanation,
citing facts, and policy language. III. Perform a thorough investigation
based upon the type, complexity, and severity of the claim. Inspect loss
sites as necessary. Upon completion of the investigation, analyze and
evaluate the potential high exposure and extensive damages, including
potential full or partial liability and compensability denials.
Formulate and document an action plan based on the covered damages and
injuries. IV. Determine and set reserves based on the most probable
outcome of the claim, within authority level. Evaluate and negotiate
directly with insured, claimant, or claimant\'s attorney on all cases
within authority level. Review claim facts... For full info follow
application link. Church Mutual is an equal opportunity employer. All
qualified applicants will receive consideration for employment without
regard to race, color, religion, sex, sexual orientation, gender
identity, national origin, veteran or disability status. *****
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/245ED547F0074EBB