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WC Sr. Claims Examiner
Company : Nautilus Insurance Company
Location : Minneapolis, MN, 55402
Job Type : Full Time / Part Time
Date Posted : 7 January 2026
Company Details
We’re a member company of W. R. Berkley Corporation, an A. M. Best A+ rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insurance market segment. Berkley Risk is focused on providing self-insured entities program administration services and insurance operations which can include taking or sharing risk using Berkley paper. This capability allows us to customize both an insurance company option and a purely administrative option for our customers.
Responsibilities
Responsible for managing a caseload consisting of incoming and more complex workers’ compensation cases including extended disability cases, litigation, employer’s liability claims, and assigned claims. Responsible for all technical aspects of claim management for assigned files including compliance with all established performance guidelines.
- Investigate claims and make appropriate decisions regarding claim compensability and general claims management for assigned files.
- Document claim handling activities; create and document action plans.
- Establish appropriate case reserves.
- Actively manage medical treatment and disability while assisting the injured worker to return to work.
- Comply with all performance guidelines.
- Identify loss trends and communicate to supervisor and/or clients.
- Use automated diary system to issue indemnity payments and for claims management
- Investigate and manage claim subrogation and negotiate settlements.
- Manage coverage B or conflict of interest cases as assigned.
- Address customer complaints and inquiries in an exemplary and professional manner.
- Participate in client claim reviews when scheduled or requested
May perform other functions as assigned
Qualifications
- Demonstrated working knowledge of workers’ compensation administration rules/laws in at least one of the following states: MN, IL or WI.
- Excellent communication and presentation skills.
- Must be able to interface with clients, legal counsel, health care professionals, etc.
- Good math and analytical ability.
- Excellent customer service skills.
- Basic PC skills and a working knowledge of Windows environment. Experience with a client/server based claims processing system.
Education
- BA/BS degree with three years’ experience. Experience must include litigation, subrogation and complex medical/legal issues or two years post-high school education and five years’ experience in workers compensation claims management.
Additional Company Details
https://www.berkleyrisk.com/ The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from third party recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: • Base Salary Range: $75k - $88k • Benefits include Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Sponsorship Details
Sponsorship not Offered for this RoleRelated Jobs
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Frequently asked questions
Senior claims examiners in Minneapolis engage deeply with complex workers’ compensation cases, ensuring accurate compensability decisions and managing extended disability claims. Their expertise directly impacts claim resolutions, aligning with local state laws and client expectations, which enhances claim outcomes and supports injured workers effectively.
Handling subrogation and employer’s liability demands thorough investigations and negotiation skills. A claims examiner must navigate legal complexities, assess liability intricately, and coordinate with multiple stakeholders to secure fair settlements, especially in multifaceted claims involving litigation or conflicting interests.
In Minnesota, possessing a workers’ compensation adjuster license or relevant state certifications boosts credibility. These credentials demonstrate compliance with local regulations and proficiency in claims management, often making candidates more competitive in the region's insurance job market.
Senior Claims Examiner salaries in Minneapolis generally range from $75,000 to $88,000 annually, aligning with Nautilus Insurance Company’s competitive compensation plan. This reflects the role’s complexity, regional market standards, and the company’s emphasis on rewarding expertise in workers’ compensation claims.
Minneapolis shows a steady demand for claims specialists due to its robust insurance sector. Competition tends to favor candidates with strong technical knowledge and local regulatory experience, making specialized roles like WC Sr. Claims Examiner moderately competitive yet accessible for qualified professionals.
Nautilus Insurance fosters a collaborative environment focused on client service excellence and innovation in claims management. Examiners benefit from strong support systems, continuing education opportunities, and a commitment to ethical practices that enrich professional growth and job satisfaction.
Yes, this position requires regular communication with healthcare professionals and legal counsel to ensure claims are managed accurately and efficiently. Building these relationships is critical for coordinating medical treatments, addressing legal issues, and facilitating timely return-to-work plans.
Prospective candidates should emphasize expertise in claims investigation, analytical reasoning, knowledge of workers’ compensation laws, and negotiation skills. Demonstrating experience with litigation, medical complexities, and client communication significantly strengthens an application.
At Nautilus, seasoned claims examiners often take on more complex caseloads involving litigation and high-stakes negotiations. Advancement may lead to mentoring responsibilities, specialized claim handling, and participation in shaping claims process improvements within the company.
The benefits include comprehensive health, dental, vision, life, and disability insurance, wellness programs, paid time off, and retirement savings plans such as 401(k) with profit-sharing. This robust package supports employees’ well-being and long-term financial security.