AEGIS Insurance Services Inc. has an immediate opening for:

Workers' Compensation Specialist

Job Description:

AEGIS Insurance Services, Inc. ("AEGIS") has an immediate opening for a Workers' Compensation Specialist who will be responsible for overseeing an inventory of complex Workers' Compensation claims at the excess level, managed by third party administrators and self-insureds at the primary level. Effectively manage assigned claims and provide appropriate advice to AEGIS and its Members relative to excess Workers' Compensation matters.

Job Purpose:

Responsible for overseeing an inventory of complex Workers' Compensation claims at the excess level, managed by third party administrators and self-insureds at the primary level. Effectively manage assigned claims and provide appropriate advice to AEGIS and its Members relative to excess Workers' Compensation matters.

Job Requirements:

Minimum 3 years of relevant work experience with a carrier, third party administrator, or self-insured

Current experience should involve direct management of active Workers' Compensation claims

Experience managing Workers' Compensation claims across multiple jurisdictions a plus

Undergraduate degree or equivalent work experience

CWCP or equivalent Workers' Compensation education or designations a plus

Applied knowledge of Workers' Compensation claims, medical management procedures, medical cost containment programs and applicable laws and regulations

Proficiency with Microsoft Office: Specifically Word, Excel, and PowerPoint

Ability to effectively present to varied audiences

Ability to effectively negotiate large and/or complex claims

AEGIS Core Competencies:

Collaborative Communications and Behavior: 0Develops and maintains effective working relationships as a team member and across divisions; readily collaborates and shares information, seeks and provides constructive feedback, and supports a respectful workplace.

Initiative and Accountability: Proactively addresses opportunities to enhance AEGIS' people, processes, products, and services, takes ownership for one's responsibilities by acting with integrity and in the best interest of the organization and stakeholders.

Quality-Focused: Demonstrates a solution-focus, displays thoroughness and accuracy through quality deliverables, and demonstrates persistence and perseverance in achieving concrete and tangible outcomes.

Service-Oriented: Conveys a genuine desire and ability to anticipate and meet customer needs and creates and nurtures mutually beneficial relationships within AEGIS and with AEGIS Members and brokers

Essential Job Functions:

Quality Assurance and Continuous Improvement

Achieve timely and proper coverage analysis and verification, and communicate AEGIS' coverage positions on assigned claims

Achieve timely, adequate, and accurate factual investigation of issues of compensability, subrogation and offset potential

Achieve timely and accurate evaluation of compensability

Achieve timely and adequate establishment of indemnity, medical and expense reserves (UNL and NUNL) reflecting AEGIS' ultimate probable cost/exposure

Achieve timely and appropriate reporting to file, claims management and reinsurers, as needed

Keep abreast of developments in the law and their applicability and impact on AEGIS claims

Assist in the administration of the Workers' Compensation Claim Review program

Account Management

Monitor "long-tail" exposure claims to ensure recognition of AEGIS exposure and appropriate reserving

Provide timely advice, technical assistance and case management direction to insureds' claim professionals and defense attorneys in the investigation, evaluation, negotiation, settlement and defense of claims and litigation, as appropriate

Conduct or participate in settlement negotiations in conjunction with insured's personnel and counsel, when appropriate

Consult with Claims management and the Claims Review Committee, as required, in the evaluation and management of assigned claims

As directed, provide advice and guidance to other claims professionals within the Claims Division in the evaluation and management of claims, analysis of coverage issues and in the research and review of the various state and federal Workers' Compensation statutes

Ensure the smooth operation of the Workers' Compensation Department when Claims management team is unavailable

Collaboration and Team Support

Assist in the development of policy and standards for the Claims Division

Foster and maintain good relationships with insureds, third party administrators, brokers and counsel

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EOE

AEGIS Insurance Services, Inc. participates in E-Verify

We expect to pay a starting salary between $95,000 and $105,000. An applicant's placement within this range is based on their individual qualifications and professional experience. In addition to base salary, AEGIS employees are eligible to participate in the Company's annual incentive program, with competitive awards based on corporate and individual performance.

In addition, we offer a comprehensive and competitive suite of options for health & wellness, retirement, income protection, time off and additional benefits:

Health & Wellness: Medical, dental, vision, mental health support and employee assistance programs

Retirement: 401(k) with matching contribution

Income Protection: Life, disability, accident and critical illness insurance

Time Off: Vacation days, sick days, holidays and family/military leave options

Other: Commuter benefits, pet insurance, hybrid work schedule

Growth: Tuition assistance and professional development opportunities

AEGIS

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Workers' Compensation Specialist