Senior Claims Specialist

Summary

Join Kinetic's dynamic Insurance Operations team as a Senior Claims Specialist! Leverage your Workers' Compensation claims expertise to provide exceptional customer service and manage claims for policyholders. You will play a key role in driving positive outcomes by identifying high-risk exposures, facilitating return-to-work opportunities, and collaborating with internal teams. As a senior team member, you'll also provide strategic insights, deliver client onboarding sessions, and support data-driven decision-making. This is a fully distributed, remote position offering a competitive salary, bonus, equity, and comprehensive benefits. Contribute to the evolution of a tech-enabled workers’ compensation solution at the intersection of insurance and technology.

Requirements

• At least 5 years of Workers’ Compensation claims experience, including managing lost time claims, litigated claims, and conduction 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)
• Proficiency in creating pivot tables and charts in Google Sheets

Responsibilities

• 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
• Conduct client onboarding sessions, including training on Kinetic’s product offerings and carrier portals, in cases where a Policyholder Success Manager is not assigned
• 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

Preferred Qualifications

• Experience working at an Insurtech company or MGA
• Experience plotting and visualizing data in a business intelligence platform such as Tableau or Looker

Benefits

• $105k-$115k + bonus and equity
• Fully distributed, remote team across all continental US time zones
• Choose your OS - employees can choose any computer they prefer
• 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