Field Claims Specialist - Workers Compensation

Great American Insurance Group

$115K — $125K *
US-AnywhereRemote in California, US
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of experience in California workers' compensation claims adjusting needed, especially with high exposure claims
  • Active California workers' compensation adjusters license required
  • Must reside in Southern California
  • Industry designations like Associate in Claims are a plus
  • Exceptional written and verbal communication skills necessary.

Responsibilities

  • Investigate losses related to workers' compensation claims
  • Analyze coverage and determine compensability and benefits
  • Establish reserves and negotiate settlements effectively
  • Conduct face-to-face meetings with claimants and insured parties
  • Prepare large loss reports for internal and external audiences
  • Attend settlement conferences and trials when assigned
  • Collaborate with defense attorneys and other vendors, such as medical case management.

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Wellness plans and parental leave
  • Tuition reimbursement program
  • Paid Time Off and paid holidays
  • 401(k) plan with company match
  • Employee stock purchase plan and commuter benefits.
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.

Here’s what you would be doing if hired for the Field Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with the highest potential exposure. We take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory’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.

The person hired for this position will work from an office in their home approximately 40% of the time and work in the field approximately 60% of the time.  Overnight travel is required as needed and where caseload dictates. Candidates must reside in Southern California.

Responsibilities

  • Investigating losses

  • Analyzing coverage, determining compensability and benefits

  • Establishing reserves and negotiating settlements

  • Conducting face-to-face meetings with claimants and insureds

  • Preparing large loss reports to both internal and external audiences

  • Attending settlement conferences, pre-trials and trials as assigned

  • Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.

Physical Requirements

  • Requires prolonged sitting and/or standing.

  • Requires frequent travel, including some overnight travel.

  • Requires ability to operate and/or travel in a motor vehicle for long periods of time.

  • May require occasional travel by airplane.

  • Requires frequent use of computer.

Qualifications

  • A minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims is required

  • Active California workers compensation adjusters license is required

  • Location in Southern California is required

  • Strong consideration will be given to candidates with industry designations including Associate in Claims

  • 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:

$115,000.00 -$125,000.00

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.

Similar Jobs

More Jobs at Great American Insurance Group

More Finance & Insurance Jobs

Find similar Field Claims Specialist - Workers Compensation jobs: