Remote Senior California WC Claims Strategist

Great American Insurance Group; San Francisco (CA); À distance; USD 105 000 - 125 000; Plein temps

Avantages offerts par ce poste

Medical, dental, vision coverage

Paid time off and holidays

401(k) plan with company match

Commuter benefits

Résumé du poste

Great American Insurance Group's Strategic Comp unit seeks an experienced Senior Claims Specialist to manage California workers' compensation claims from inception to resolution. This remote role requires working Pacific Time Zone business hours and a deep knowledge of state laws to drive timely settlements and strategic reserves.

The ideal candidate has 10+ years of workers' compensation claims adjusting experience, California-specific expertise, and professional designations such as AIC.

Qualifications

• Generally, 10+ years of workers' compensation claims adjusting experience, including complex or high-exposure claims.
• California experience required.
• Strong knowledge of California workers' compensation laws, regulations, and claims practices.
• Professional industry designations such as Associate in Claims (AIC) are preferred.
• Ability to work Pacific Time Zone business hours and travel occasionally as needed.
• 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.

Responsabilités

• Manage California 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 California 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.

Connaissances

Great communicator

Description du poste

Great American Insurance Group's Strategic Comp unit seeks an experienced Senior Claims Specialist to manage California workers' compensation claims from inception to resolution. This remote role requires working Pacific Time Zone business hours and a deep knowledge of state laws to drive timely settlements and strategic reserves.

The ideal candidate has 10+ years of workers' compensation claims adjusting experience, California-specific expertise, and professional designations such as AIC.