Claims Specialist/Senior Claims Specialist

Great American Insurance Group

$85K — $115K *
US-Anywhere
+ 3 other locationsRemote
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7-10+ years of experience in Kansas and Missouri workers' compensation claims adjusting, focusing on complex claims.
  • In-depth knowledge of Kansas and Missouri state comp laws and claims practices.
  • Preferred professional designations like Associate in Claims (AIC).
  • Ability to work during Central Time Zone business hours and travel occasionally.
  • Exceptional written and verbal communication skills for diverse interactions.

Responsibilities

  • Manage Kansas and Missouri workers' compensation claims from start to finish.
  • Analyze claim facts to evaluate coverage and eligibility for benefits.
  • Develop strategies for achieving timely, favorable claim outcomes.
  • Establish and manage appropriate reserves for claims.
  • Negotiate settlements and ensure resolution of claims.
  • Communicate with claimants, employers, and various stakeholders regularly.
  • Prepare and present comprehensive reports on large loss claims.

Benefits

  • Access to medical, dental, and vision coverage for full-time employees.
  • Wellness programs, parental leave, and adoption assistance offered.
  • Tuition reimbursement for ongoing education.
  • Paid Time Off and paid holidays provided to employees.
  • 401(k) plan with company match and an employee stock purchase plan.
  • Commuter benefits available to eligible employees.
Full Job Description

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Position Summary

Strategic Comp is seeking an experienced Claims Specialist or Senior Claims Specialist to manage Kansas and Missouri workers' compensation claims. This role is responsible for investigating claims, determining compensability, establishing reserves, negotiating settlements, and developing strategies that drive effective claim resolution.

We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their jurisdiction’s comp laws, but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. This is a remote position that requires working Central Time Zone business hours. Candidates may work from any state in the US.

Responsibilities

  • Manage Kansas and Missouri workers' compensation claims from inception through resolution.
  • Analyze claim facts and evaluate coverage, compensability, and benefits eligibility.
  • Develop and execute strategies to achieve timely and favorable claim outcomes.
  • Establish and maintain appropriate claim reserves.
  • Negotiate settlements and bring about claim resolution.
  • Communicate regularly with claimants, insureds, employers, and other stakeholders.
  • Prepare and present large loss reports to internal and external audiences.
  • Collaborate with defense counsel on litigation strategy and claim resolution.
  • Partner with medical case managers, surveillance vendors, and other external resources.
  • Ensure compliance with Illinois workers' compensation laws and regulations.
  • Maintain accurate and timely claim documentation.
  • Analyze claim trends and exposure to support effective decision-making.
  • Provide exceptional service while building strong relationships with customers and business partners.

Qualifications

  • Generally, 7-10+ years of Kansas and Missouri workers' compensation claims adjusting experience, including complex or high-exposure claims.
  • Strong knowledge of Kansas and Missouri workers' compensation laws, regulations, and claims practices.
  • Professional industry designations such as Associate in Claims (AIC) are preferred.
  • Ability to work Central Time Zone business hours and travel occasionally as needed.
  • You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts.

Business Unit:

Strategic Comp


Salary Range:

$85,000.00 -$115,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

*Excludes seasonal employees and interns.

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