Workers' Compensation Claims Specialist - Republic Indemnity

Great American Insurance Group

$91K — $122K *
Finance & Insurance
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor’s Degree or equivalent experience in Liberal Arts, Business, or related field.
  • 6-10 years of experience in California Workers' Compensation Claims handling.
  • Strong understanding of claims investigation, liability analysis, and coverage evaluation processes.
  • Ability to convey complex legal information clearly and professionally to various stakeholders.
  • Experience mentoring and providing technical advice to junior staff.

Responsibilities

  • Investigate and maintain complex workers' compensation claims to ensure thorough evaluation.
  • Analyze and secure necessary information for claims, including documents and reports.
  • Attend arbitration and mediation sessions, and represent the company in depositions or trials as necessary.
  • Issue claims payments accurately and timely while ensuring compliance with legal requirements.
  • Provide performance coaching and participate in staff development and talent selection decisions.
  • Work under limited supervision on assignments requiring specialized knowledge and expertise.
  • Perform additional duties as assigned to support the Claims department.

Benefits

  • Access to medical, dental, and vision coverage for full-time employees.
  • Wellness plans, parental leave, adoption assistance, and tuition reimbursement available.
  • Paid Time Off and paid holidays for full-time and eligible part-time employees.
  • 401(k) plan with company match to help employees save for retirement.
  • Employee stock purchase plan and commuter benefits offered for eligible employees.
Full Job Description
Republic Indemnity is hiring for a Workers' Compensation Claims Specialist! This position will be based in Southern California. Candidates who are local to our Woodland Hills office will work on a hybrid schedule. Remote candidates may also be considered who are not local to this office. Essential Job Functions and Responsibilities - Investigates and maintains claims: - Reviews and evaluates coverage and/or liability. - Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims. - Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. - May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority. - Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations. - Ensures that claims payments are issued in a timely and accurate manner. - Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed. - Provides technical advice to lower level positions and other functional areas. - 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 or equivalent experience. - Field of Study: Liberal Arts, Business or a related discipline. - Experience: Generally, 6 to 10 years of experience handling California Workers' Compensation Claims. Additional Job Description - Scope of Job: Works within broad limits on highly complex assignments requiring specialized knowledge in breadth and/or depth within area of expertise. Viewed as a senior resource for the Claims department and/or organization. Next step in a traditional career progression may be a management role. May be a team leader. Performs work under limited supervision. Company: RICA Republic Indemnity Company of America Salary Range: $91,080.00 -$122,820.00 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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