Senior Claims Representative

Senior Claims Representative, Workers Compensation

Hybrid - Middlesex County | $80,000 - $100,000

Join a growing, service-focused risk and claims organization known for its collaborative culture, client-centric approach, and commitment to professional development. This role offers the opportunity to step into a senior role on a high-performing team in a supportive, forward-thinking environment.

Overview

The Senior Claims Representative is responsible for all phases of assigned workers compensation claims handling, ensuring efficient, compliant, and high-quality outcomes.

Responsibilities

• Gathers all required claim information from contacts and documents it for claim files and management review.
• Conducts initial claim follow-up by phone or letter, ensuring all necessary information is received to process the claim.
• Obtains details from witnesses, police, medical providers, and other sources; secures bills and proof of loss to support timely claim resolution.
• Reviews coverage and authorizes claim payments within assigned authority limits.
• Processes claim payments when appropriate and provides supporting documentation for management tracking.
• Performs field investigations to ensure prompt and fair settlement of assigned claims.
• Maintains responsibility for claims in accordance with established service standards.

Qualifications

• 5+ years of experience in claims
• Bachelor’s degree preferred
• Strong communication skills and attention to detail
• Experience with Workers Comp/Bodily Injury preferred

For consideration, please email your resume to bethany.delahunt@gogpac.com