Senior Claims Specialist - Workers Compensation

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Hiring Remotely in San Francisco, California, USA
In-Office or Remote
75K-90K Annually
Senior level
Insurance
The Role
Manage the full lifecycle of workers' compensation claims, conducting investigations, evaluating liability and damages, negotiating settlements, directing outside experts and counsel, maintaining reserves and coverage analysis, preparing reports, and representing the company at hearings and meetings to achieve efficient claim outcomes.
Summary Generated by Built In

Come join our team!

There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” – people who know what they want and aren’t afraid to make it happen.

Headquartered in New York City and founded in 2007, our company has over 4,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. 

Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team!


JWF Specialty is a division of EPIC. JWF is a best-in-class Third Party Administrator (TPA) and the TPA of choice for EPIC. They're a successful and rapidly growing division with a strong reputation for innovation and customer satisfaction.

 

JOB OVERVIEW:

The Senior Claims Specialist manages the full lifecycle of Workers’ Compensation claims, delivering thorough investigation and analysis while developing trusted relationships with clients and stakeholders to drive efficient, high-quality claim outcomes.

 

LOCATION: HYBRID - Carmel, Indiana office (3 days/week in office); open to remote for highly qualified candidates. 

 

WHAT YOU'LL BRING: 

  • Proficiency in Microsoft Office (Excel, Word) and systems navigation
  • Ability to travel as needed for client meetings and team collaboration
  • Self-motivated and adaptable, with strong independent work habits
  • Effective interviewing, analytical, and problem-solving skills
  • Strong communication, time management, and organizational abilities
  • Ability to manage conflict and navigate challenging claim situations

 

WHAT YOU’LL DO:

A detailed list of job duties includes (but is not limited to):

  • Generally works independently, handling the most complex matters, and has settlement and draft authority of up to designated amount based on experience.
  • Conducts complete investigation of losses through any appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence.
  • Evaluates liability and damages; identifies subrogation/salvage opportunities or suspicious claims.
  • Prepares timely, concise reports as required.
  • Promptly establishes and maintains accurate reserves.
  • Verifies, analyzes and correctly applies coverage.
  • Develops strategy and negotiates claims to a timely conclusion, properly applying company and department policies and procedures.
  • Decides on conclusion of loss (e.g. pay, deny compromise) based upon analysis of the facts, liability, and statutory/case law.
  • Determines need for and provides direction to defense counsel, independent adjusters or other technical experts, and monitors and controls their costs.
  • Attends hearings, pre-trial settlement, conferences, trials, etc., as required.
  • Keeps agents, insurers, Agency OPS and Corporate Claims advised of file status and other matters as required.
  • Frequently involved in meetings or visits to agents, insurers, prospects, clients etc. and in Large Account matters. 

 

COMPENSATION: 

The national average salary for this role is $75,000-90,000 in base pay and exclusive of any bonuses or benefits. The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data.

 

WHY EPIC:

EPIC has over 60 offices and 4,000 employees nationwide – and we’re growing! It’s a great time to join the team and be a part of this growth. We offer:

  • Generous Paid Time off
    • Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
  • Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
  • Generous employee referral bonus program of $1,500 per hired referral
  • Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
  • Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
  • Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
  • Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
  • Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
  • 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
  • EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation
  • We’re in the top 10 of property/casualty agencies according to “Insurance Journal”

To learn more about EPIC, visit our Careers Page: https://www.epicbrokers.com/about/epic-careers/. 

 

EPIC embraces diversity in all its various forms—whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients. 

California Applicants - View your privacy rights at: https://www.epicbrokers.com/wp-content/uploads/2025/01/epic-ca-employee-privacy-notice.pdf. 

Massachusetts G.L.c. 149 section 19B (b) requires the following statement: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. 

 

#LI-SP2

#LI-Hybrid

Skills Required

  • Proficiency in Microsoft Office (Excel, Word) and general systems navigation
  • Ability to travel as needed for client meetings and team collaboration
  • Experience managing full lifecycle workers' compensation claims and complex matters
  • Effective interviewing, analytical, and problem-solving skills
  • Strong communication, time management, and organizational abilities
  • Ability to manage conflict and navigate challenging claim situations
  • Experience providing direction to defense counsel, independent adjusters, or technical experts and controlling costs
  • Ability to attend hearings, pre-trial conferences, trials, and represent the company as required

EPIC Insurance Brokers & Consultants Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about EPIC Insurance Brokers & Consultants and has not been reviewed or approved by EPIC Insurance Brokers & Consultants.

  • Flexible Benefits A full-suite includes medical, dental, vision, pharmacy, wellness/EAP, HSA/FSA, dependent care, commuter benefits, employee discounts, and a remote work program, allowing coverage to align with individual needs. Plan categories and add-ons provide choice across different circumstances and markets.
  • Healthcare Strength Medical, dental, vision, pharmacy, wellness programs, life and disability insurance, and cancer services create a comprehensive health offering. Carrier and plan options are characterized as strong in several offices.
  • Leave & Time Off Breadth Managed/unlimited PTO with paid holidays and sick time expands time‑off options and flexibility. These policies are positioned as a notable part of the overall package.

EPIC Insurance Brokers & Consultants Insights

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The Company
HQ: San Francisco, California
2,616 Employees
Year Founded: 2007

What We Do

We are a unique and innovative retail risk management and employee benefits insurance brokerage and consulting firm founded in San Francisco, California, in 2007 with offices and leadership across the country. EPIC Insurance Brokers & Consultants has a depth of industry expertise across key lines of insurance, including risk management, property and casualty, employee benefits, unique specialty program insurance and private client services. Check out our other links for all things EPIC: https://linktr.ee/epicbrokers

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