Field Claims Specialist - CA Workers' Compensation

Summit Consulting; Los Angeles (CA); Remote; USD 110,000 - 120,000; Full time

Job summary

An established industry player is seeking a dynamic Field Claims Specialist to join their team in sunny California. This role offers the opportunity to investigate and adjust workers' compensation claims, focusing on high exposure cases. You'll leverage your expertise to develop strategies for claim resolution while working from home and traveling as needed. With a strong emphasis on diversity and employee satisfaction, this company fosters an inclusive culture where your contributions are valued. If you're ready to make a difference and thrive in a collaborative environment, this position could be your next great career move.

Benefits

Medical, dental, and vision plans

Paid time off (PTO)

Paid holidays

Commuter benefits

Employee stock purchase plan

Education reimbursement

Paid parental leave/adoption assistance

401(k) plan with company match

Qualifications

• 10+ years of experience in California workers' compensation claims adjusting.
• Strong communication skills and ability to work with various contacts.

Responsibilities

• Investigate and adjust high exposure workers' compensation claims.
• Conduct meetings with claimants and negotiate settlements.

Skills

California Workers' Compensation Claims Adjusting

Communication Skills

Negotiation Skills

Analytical Skills

Education

California Workers' Compensation Certification

Associate in Claims (preferred)

Job description

Field Claims Specialist - CA Workers' Compensation

Apply remote type Remote locations California, USA Los Angeles, CA (USA) time type Full time posted on Posted 2 Days Ago job requisition id R6945

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best.

When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey. This clearly indicates the passion and energy our staff has for our company and for the job they do!

A big reason for these successes is due to our careful matching of the right job with the right person. Currently we have an opening for a Field Claims Specialist in California. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.

Here’s what you would be doing if hired for the Field Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with the highest potential exposure. We take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory’s comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution.

The person hired for this position will work from an office in their home with occasional field work and overnight travel required. The ideal candidate will reside in Los Angeles or Long Beach, CA. Considerations will be given for candidates residing in Southern California if willing to travel to Los Angeles and Long Beach as needed.

Responsibilities

1. Investigating losses
2. Analyzing coverage, determining compensability and benefits
3. Establishing reserves and negotiating settlements
4. Conducting face-to-face meetings with claimants and insureds
5. Preparing large loss reports to both internal and external audiences
6. Attending settlement conferences, pre-trials and trials as assigned
7. Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.

Physical Requirements

1. Sedentary: requires prolonged sitting, continuous use of computer; will work from an office at home approximately 40% of the time
2. Travel: requires travel in the field approximately 60% of the time; overnight travel is required as needed and where caseload dictates

Qualifications

1. A minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims is required.
2. Must have current California Workers' Compensation Certification and be current with required continuing education training or have current California Self Insurance Administrator’s License.
3. Strong consideration will be given to candidates with industry designations including Associate in Claims.
4. You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts.

Business Unit: Strategic Comp

Salary Range: $110,000.00 - $120,000.00

Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs.

We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.

Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.