Senior Claims Representative - Workers' Compensation

These positions investigate, evaluate and dispose of assigned claims in a timely manner in order to achieve best practices type settlements within legal statutes, policy provisions and Company and/or client guidelines. 

Candidates may reside in any of the approved hiring markets, provided they can report to our Harrisburg, PA, Pittsburgh, PA or Waukesha, WI office on a hybrid basis. 

ESSENTIAL DUTIES

• Initiates self-development and training, in order to improve upon, maintain or acquire skills prescribed as promoting professional and personal growth in claims handling 
• Properly identifies and pursues subrogation, contribution and salvage opportunities when available, in order to reduce or recover the amount of payment.
• Uses appropriate, tactful and complete communications, in order to ease negotiations, develop rapport and project a positive corporate and personal image.
• The ability to handle claims involving more complex coverage and liability issues; may also require attendance at civil proceedings or workers compensation hearings.
• Develops claims files from initial assignment to disposition.
• Prepares claim file documentation accurately and completely in order to justify all actions taken and to provide an effective audit trail. 
• Achieves a best practices type settlement in the disposition of claims.
• May participate as a member of a Claims Catastrophe Team 
• May act as a supervisor of a Claims Catastrophe Team
• Completes actions on a timely basis, such as verifying coverages, setting or adjusting reserves, making appropriate contacts.
• Collaborates with Team Leader, Manager and Home Office as necessary to develop case strategy, moving the investigation along and disposing of the claim, in order to keep management, claimants, insureds and other interested parties satisfied that effective efforts are being made toward claim settlement.
• Performs other duties as may be assigned by the Reporting managers listed above.

SPECIAL RELATIONSHIPS

• In Penn National Insurance, these positions report to the Team Leader; Team Leader or CSO Manager
• Direct contact with branch underwriting and/or claims service office personnel;
• Direct contact with Home Office claims personnel;
• Direct contact with agents, insureds, claimants, medical and legal professionals, appraisers and independent adjusters.

QUALIFICATIONS

Education/Credentials 

• Continuing education in insurance-related courses such as IIA Certificate in General Insurance, Senior Claims Law Associate, and Associate in Claims courses and/or Workers’ Compensation courses (PA 10, 11, 12 ,and 13) preferred
• Associate's degree in Claims and/or Senior Claims Law Associate designations preferred
• Adjuster's license or be willing to obtain one as required

Experience 

• Minimum of 5 years of experience in workers' compensation claims handling

Technical/Professional Knowledge

• Must have a good understanding of tort and state laws applicable to assigned claims, the Unfair Claims Settlement Act and insurance policy coverages and provisions
• Must have a good understanding of terminology applicable to assigned claims; i.e., medical, legal, automotive and construction terminology
• Good communication skills, both oral and written
• Good inter-personal skills
• Good negotiation skills
• Good customer service skills
• Good analysis and evaluation skills
• Good decision-making skills
• Must have a strong sense of urgency
• Good PC skills, with an emphasis on Microsoft Office Products
• Good planning and organization skills
• Must be able to work independently as well as a member of a team

The compensation has been carefully determined by considering a variety of important factors, including skill sets, experience, training, and certifications. With these considerations in mind, the estimated hiring range is $75,000 - $103,000. Additionally, you may be able to participate in our annual incentive program, depending on eligibility under the plan.

JOB REQUIREMENTS (as required by ADA – Americans with Disabilities Act)

• This position is primarily a sedentary position that requires occasional standing and walking throughout the office environment.
• Must be able to see and effectively use a computer monitor.
• Must be able to operate a computer, keyboard and applicable printers and other general office equipment.
• Must be able to access and enter information accurately using automated systems.
• Must be able to hear and communicate via the telephone and/or monitoring devices to both internal and external clients.
• Must be able to present information to individuals and groups.
• Must be able to interpret and apply concepts that may or may not be based upon established guidelines.
• Must be able to maintain acceptable attendance and adhere to scheduled work hours.
• Must have a valid driver’s license and be able to operate a motor vehicle.
• Must be able to travel, with overnight stays required.

Why Choose Penn National Insurance?

At Penn National Insurance, we’re on a mission to help people feel secure and make life better when bad things happen. For over 106 years, we’ve been a trusted partner to individuals, families and businesses because we are a mutual insurance company where service and support for our policyholders are at the heart of everything we do. 

We’re not just a company—we’re a community united by our core mission to “Make Life Better.” Here, you’ll find a place where your professional growth, success and personal well-being are our top priorities. 

Your Career Journey: Empowering Your Growth

Your career should be more than just a job—it should empower you to feel secure, supported and inspired. At Penn National Insurance, we invest in your growth and celebrate your contributions with a comprehensive and competitive total rewards package. We’re committed to supporting your journey and helping you thrive at every stage of your career. Key highlights include:

• Benefits and Compensation: Generous 401(k) match, graded profit sharing, incentive compensation, and a wide range of benefits to support your financial health, physical well-being and career development.
• Flexibility: We offer remote and hybrid work options, flexible scheduling and a “dress-for-your-day” culture.
• Recognition: We celebrate your achievements, big and small, through employee recognition programs designed to honor your contributions.

Your Employer of Choice: A Legacy of Trust and Strength

Joining Penn National Insurance means becoming part of a company with over a century of experience, built on trust, innovation and strong relationships. From our beginnings as a mutual insurance company founded by farmers to our 100th anniversary in 2019, we've stayed true to our relationship-driven model, focusing on direct service and meaningful support. 

Your Community: Making an Impact Together

Making life better isn’t just our mission—it’s a value that guides everything we do. Our employees are at the heart of this mission, giving back through community engagement and charitable efforts. We proudly support our community through financial support and employee volunteering opportunities including our annual United Way campaign, where employee contributions and company matches make a significant impact each year.

Your Future: Building a Rewarding Career Path

We’re not just offering a job; we’re providing a fulfilling and rewarding career. We support your growth with a range of resources designed to help you build your skills and achieve your goals, including:

• Continuing Education Support: Access to programs that help you enhance your knowledge, skills and educational goals along with 100% tuition reimbursement for academic studies.
• Professional Development Opportunities: Tailored designation programs to help you advance in your career such as CPCU, AINS, CPA, CISSP, and more.
• Long-Term Career Focus: With an average employee tenure of 14 years and many team members serving for over 40 years, we take pride in fostering a work environment that values long-term growth and development.

When you join us, you’re not just starting a job—you’re becoming part of a team that values your growth and invests in your future. Our commitment to long-term retention and employee development ensures that you will be part of a tradition and legacy of excellence that spans decades.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, creed, affectional and sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Consistent with the Americans with Disabilities Act (ADA) and EEOC guidance, it is the policy of Pennsylvania National Insurance to provide reasonable accommodations to qualified individuals with disabilities in all aspects of the employment process. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to a HR Business Partner via telephone at 800-368-4764, or through email.