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 discipline.
  • 6 to 10 years of experience managing California Workers' Compensation Claims.
  • Strong analytical skills for evaluating coverage and liability.
  • Ability to convey complex information clearly and professionally.
  • Experience with legal proceedings such as arbitrations and mediations.

Responsibilities

  • Investigate and maintain workers' compensation claims through thorough review and analysis.
  • Resolve claims files and attend necessary legal proceedings like mediations or trials.
  • Make settlement decisions within prescribed limits while providing recommendations to supervisors.
  • Ensure timely and accurate claims payments are processed.
  • Guarantee compliance with relevant statutes and company procedures in claims handling.
  • Offer technical guidance to junior staff and other departments.
  • May oversee performance and development of team members.

Benefits

  • Medical, dental, and vision coverage for full-time employees.
  • Wellness plans and parental leave.
  • Adoption assistance and tuition reimbursement options.
  • Paid Time Off and paid holidays for eligible employees.
  • 401(k) plan with company match and employee stock purchase plan.
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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