Field Claims Specialist - Workers Compensation

Summit Consulting; California (MO); Hybrid; USD 115,000 - 125,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Wellness programs

Parental leave

Adoption assistance

Tuition reimbursement

Paid time off and holidays

401(k) with company match

Employee stock purchase plan

Commuter benefits

Job summary

Strategic Comp, a leading provider of workers' compensation insurance, seeks a Field Claims Specialist in Southern California. The role involves investigating and adjusting high-exposure California WC claims with a focus on settlements, reserves, and reporting.

Travel requirements include field work and some overnight travel, with residence in Southern California preferred. The candidate should have 10+ years of California WC claims adjusting, active adjuster license, and strong communication

Qualifications

• A minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims.
• License to adjust California workers' compensation claims is required.
• Location in Southern California is required.
• Industry designations such as Associate in Claims are advantageous.

Responsibilities

• Investigate losses and adjust workers' compensation claims.
• Analyze coverage, determine compensability and benefits.
• Establish reserves and negotiate settlements with claimants.

Skills

Great communication

Education

Active California workers' compensation adjuster license

Job description

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 and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.Who We AreStrategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business.Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another.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 approximately 40% of the time and work in the field approximately 60% of the time. Overnight travel is required as needed and where caseload dictates. Candidates must reside in Southern California.ResponsibilitiesInvestigating lossesAnalyzing coverage, determining compensability and benefitsEstablishing reserves and negotiating settlementsConducting face-to-face meetings with claimants and insuredsPreparing large loss reports to both internal and external audiencesAttending settlement conferences, pre-trials and trials as assignedWorking closely with defense attorneys and other vendors including medical case management, surveillance, etc.Physical RequirementsRequires prolonged sitting and/or standing.Requires frequent travel, including some overnight travel.Requires ability to operate and/or travel in a motor vehicle for long periods of time.May require occasional travel by airplane.Requires frequent use of computer.QualificationsA minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims is requiredActive California workers compensation adjusters license is requiredLocation in Southern California is requiredStrong consideration will be given to candidates with industry designations including Associate in ClaimsYou must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contactsBusiness Unit:Strategic CompSalary Range:$115,000.00 -$125,000.00Benefits: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.