Technical Claims Specialist I/II, Workers Compensation

This role involves investigating workers' compensation claims to determine coverage, establish compensability, and manage case resolution within established authority. The position requires collaborating with management and outside counsel to handle litigated files, suspicious claims, and complex exposures such as third-party subrogation and Medicare Set Asides. Additionally, the specialist is responsible for maintaining accurate reserves, negotiating settlements, and participating in training sessions for less experienced staff.