Workers' Compensation Claims Specialist – Alternative Markets

🔥 29 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $87.1k - $117.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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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 a large inventory of claims, including medical only, indemnity, and potential CAT • Plan and conduct complex claims investigations to confirm coverage, causal relationship, and benefits compliance with state laws • Analyze and negotiate appropriate claim settlements and reserves within prescribed authority • Attend arbitrations, mediations, depositions, or trials as needed • Authorize payments within assigned authority limits and ensure timely payment • Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements • Potentially oversee performance and coaching of staff • Participate in talent selection, development, and performance management decisions for direct reports • Perform other assigned duties

🎯 Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience • Generally, 5 or more years of experience in workers compensation claims handling • Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC) • Specialized knowledge of insurance policies, coverage, and claims handling procedures • Knowledge of industry laws and regulations • Advanced ability to organize and prioritize caseloads • Excellent analytical, negotiation, and problem-solving skills • Excellent interpersonal and communication skills • Ability to build relationships and lead negotiations • Proven ability to handle confidential information with discretion • 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

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