Workers Comp CA Senior Claims Specialist- Remote-

Great American Insurance Group

$95K — $105K *
US-AnywhereRemote in Nebraska, US
Finance & Insurance
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or equivalent experience.
  • Minimum of 13 years in property and casualty claims handling.
  • CA Work Comp experience is preferred.
  • Professional designation like Associate in Claims (AIC) is preferred.
  • Expert knowledge of insurance policies, claims handling procedures, and industry regulations.

Responsibilities

  • Manage a large inventory of complex claims to evaluate compensability and liability.
  • Lead comprehensive claims investigations to confirm coverage and determine damages.
  • Negotiate claim settlements and author reserve amounts within authority limits.
  • Communicate complex information regarding coverage and settlements to stakeholders.
  • Authorize timely payments in accordance with authority limits.
  • Maintain detailed and accurate claim files and correspondence.
  • Coaching and performance management of staff may be part of this role.

Benefits

  • Medical, dental, and vision coverage.
  • Wellness plans and parental leave.
  • Adoption assistance and tuition reimbursement.
  • Paid Time Off and paid holidays.
  • 401(k) plan with company match and employee stock purchase plan.
Full Job Description
National Interstate is looking for a California Senior Workers Comp Claims Specialist to join their team. This individual will work fully remote from the USA

Essential Job Functions and Responsibilities

  • Manages a large inventory of highly complex claims to evaluate compensability/liability.
  • Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages.
  • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
  • Performs other duties as assigned.

Job Requirements

Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.

Experience: Generally, a minimum of 13 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

Prefer CA Work Comp Experience

Scope of Job/Qualifications: Works at the highest authority limits on assignments of the highest technical complexity and coordination. Excellent analytical, negotiation, and problem-solving skills. Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures. Maintains and leverages knowledge of industry laws and regulations.  Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims.  Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Recognized as a subject matter expert within the company, potentially operating at a peer level to management.

Company:

NIIC National Interstate Insurance Company


Salary Range:

$95,000.00 -$105,000.00

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 Workers Comp CA Senior Claims Specialist- Remote- jobs: