Field Claims Specialist - Workers Compensation

Great American Insurance Group; California (MO); On-site; USD 115,000 - 125,000; Full time

Job summary

Great American Insurance Group is seeking a Field Claims Specialist to investigate and adjust California workers' compensation claims with high exposure. You will work from a home office ~40% of the time and in the field ~60%, with overnight travel as needed.

Candidates must reside in Southern California. This role focuses on developing strategies to bring claims to resolution, leveraging territory knowledge of comp laws, and collaborating with defense attorneys and other vendors.

Qualifications

• Minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims.
• Active California workers' compensation adjuster license is required.
• Location in Southern California is required.
• Industry designations such as Associate in Claims encouraged.
• 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.

Responsibilities

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

Skills

Communication skills

Written & verbal communication

Education

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 Are

Strategic 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.

Field Claims Specialist Role

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.

Responsibilities

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

Physical Requirements

• Requires 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.

Qualifications

• A minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims is required
• Active California workers compensation adjusters license is required
• Location in Southern California is required
• Strong consideration will be given to candidates with industry designations including Associate in Claims
• 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: $115,000.00 -$125,000.00

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.

Great American Insurance Group understands the importance of choosing a financially strong company. We are an organization built for the long term and are committed to giving you that strength.

Why can you trust Great American Insurance Group? For nearly 150 years, Americans have trusted us to protect them. Our innovative insurance solutions and specialization serves niche marketplaces that we know well. This expertise gives us a successful foundation that spans generations. You never know where a career in insurance will take you. Whether you are starting your career or are looking for a company to grow your experience, at Great American Insurance Group, you can join our more than 8,500 employees to “Be Here. Be GREAT!”

To learn more, visit our Career Page