Senior Claims Specialist – Workers Compensation

🔥 1 minute ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $95k - $110k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Great American Insurance Group

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🛡️ Insurance

🤝 B2B

Insurance • B2B

Great American Insurance Group is a U. S. -based specialty insurance company that provides a wide range of commercial insurance products and services to businesses and niche industries. With more than 150 years of history and headquarters in Cincinnati, Ohio, Great American offers tailored coverages including property & inland marine, equine mortality, transportation, professional liability, trade credit, cyber risk, and employer health solutions through numerous specialty divisions and international branches. It is a group of insurance companies that are subsidiaries of American Financial Group and emphasizes financial strength, claims expertise, and industry-focused underwriting for primarily business customers.

📋 Description

• Manage Pennsylvania and Delaware 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

🎯 Requirements

• 10+ years of Pennsylvania and Delaware workers' compensation claims adjusting experience, including complex or high-exposure claims • Strong knowledge of Pennsylvania and Delaware workers' compensation laws, regulations, and claims practices • Professional industry designations such as Associate in Claims (AIC) are preferred • Ability to work Eastern Time Zone business hours and travel occasionally as needed • Excellent written and verbal communication skills • Ability to work with a variety of internal and external contacts • Delaware workers’ compensation license is required • Additional state licenses are a plus • Applicants must be authorized to work in the United States without the need for current or future sponsorship

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Wellness plans • Parental leave • Adoption assistance • Tuition reimbursement • Paid Time Off • Paid holidays • 401(k) plan with company match • Employee stock purchase plan • Commuter benefits