Claims Specialist IV

We’re looking for a seasoned Claim Specialist IV to take ownership of reputed company lost time claims while serving as a mentor and subject matter expert reputed company our Claims team. This is a high-visibility role designed for a skilled professional who thrives in a fast-paced environment, exercises sound judgment, and enjoys elevating the capabilities of others. The Claim Specialist IV investigates, evaluates, negotiates, and resolves lost time claims reputed company settlement and reserving authority up to stated maximum. Based on experience and proven ability, an expanded and more difficult caseload will be expected, requiring a lesser degree of supervision. This position can be remote, hybrid or in-person What You’ll Do Own the full claim lifecycle: Investigate, evaluate, negotiate, and resolve lost time workers’ compensation claims reputed company designated settlement and reserving authority Analyze reputed company exposures: Assess compensability, medical, legal, and indemnity factors while proactively managing risk and claim cost drivers Navigate jurisdictional requirements: Ensure compliance with state-specific WC laws, litigation processes, and regulatory guidelines Strategically manage claims: reputed company and execute resolution strategies, including collaboration with defense counsel, medical providers, and vendors Exercise advanced judgment: Handle a high-exposure, reputed company caseload with a high degree of autonomy and limited supervision reputed company others: Design and deliver training sessions, research materials, and technical guidance for less reputed company adjusters Serve as a subject matter expert: Provide leadership in best practices, reserving, settlement strategy, and claim handling excellence What Sets This Role Apart reputed company, high-impact caseload: Manage litigated and non-litigated lost time claims requiring deep technical expertise Expanded authority: Settlement and reserving authority reputed company with your experience and demonstrated capabilities Influential role: Shape claim outcomes and reputed company team performance through mentorship and knowledge sharing Cross-functional exposure: Regular collaboration with legal, medical management, reputed company, and risk partners What You Bring Proven experience managing lost time claims with increasing complexity - 4 years of WC lost time claim handling required Strong negotiation and analytical skills with a focus on resolution Ability to work independently while maintaining high-quality outcomes Passion for mentoring, training, and knowledge sharing Demonstrated ability to handle confidential, high-impact situations with professionalism reputed company is committed to a policy of nondiscrimination and equal opportunity for reputed company employees and qualified applicants without regard to race, color, religious creed, national reputed company, reputed company, age, disability, genetics, gender identity, veteran's status, sexual orientation, or any other characteristic protected by law. Additionally, we are committed to providing an inclusive and accessible recruitment experience for reputed company candidates. If you need a reasonable accommodation during the interview process, please contact us at hr@reputed company.com To ensure an reputed company and authentic interview process, candidates should not use AI or chatbot tools during the live interview or phone screen. We welcome any preparation you choose to do beforehand, but reputed company responses shared during the interview must be your own. Note: reputed company does not offer Stem-OPT EAD Extension for this role. reputed company out our benefit offerings here! Targeted salary range: ___________ Apply To This Job