Workers' Compensation Claims Specialist
Kinetic
- Manage claims for Kinetic policyholders, including claim reviews, reserve analysis, and closure strategies to minimize policyholders’ total cost of risk.
- Identify high-risk policyholders and collaborate with the Insurance Operations team to implement risk mitigation strategies.
- Facilitate return-to-work programs to reduce claim durations and improve injury recovery outcomes.
- Deliver best-in-class customer service to policyholders and internal teams to enhance claims processes and program effectiveness.
- Provide on-demand consultations to policyholders, brokers, and other stakeholders to address claims-related concerns.
- Update and maintain accurate records, reports, and applications to ensure data consistency.
- Analyze claims data and performance metrics, providing actionable insights to management.
- Support product improvement initiatives by identifying gaps and opportunities for optimization.
- Lead or contribute to special projects that align with broader company goals.
- At least 4 years of Workers’ Compensation claims experience, including managing lost time claims, litigated claims, and conducting loss reserve analyses
- Proven experience conducting claim reviews directly with policyholders and their agents
- Knowledge or experience with Return-to-Work protocols and programs
- Demonstrated ability to build positive relationships and partnerships within the department, across the organization, and with external customers
- Strong analytical skills with a high level of attention to detail
- Excellent written and verbal communication skills, with experience preparing and delivering presentations
- Ability to work both independently and collaboratively with team members at all levels
- Proficiency in Google Suite (e.g. Google Docs, Sheets, Slides)
- Experience working at an Insurtech company or MGA
- Experience plotting and visualizing data in a business intelligence platform such as Tableau or Looker
What we offer
- This is a remote position (candidate must be a full time U.S. resident)
- Equity Grant
- Medical, dental, and vision insurance
- 20 vacation days per year
- 9 federal holidays off
- Parental Leave
- Pre-tax 401k contribution
- HSA with compatible health plans
- FREE: Health Advocate
- FREE: Telehealth Membership
- FREE: OneMedical Account