Remote Senior WC Claims Specialist – CA & OR

Great American Insurance Group; California; A distancia; USD 105.000 - 125.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, vision benefits

Wellness programs

Parental leave

Descripción de la vacante

Great American Insurance Group’s Strategic Comp unit seeks an experienced Senior Claims Specialist to manage California and Oregon workers' compensation claims. The role involves investigating claims, determining compensability, setting reserves, and negotiating settlements while developing strategies for timely resolutions.

Remote position aligned to Pacific Time Zone business hours; travel occasionally may be required.

Formación

• 10+ years of workers' compensation claims adjusting experience, including complex or high-exposure claims.
• California experience required; Oregon experience a plus.
• Strong communication skills in written and verbal form, with ability to work with internal and external contacts.

Responsabilidades

• Manage California and Oregon workers' compensation claims from inception through resolution.
• Analyze claim facts, 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 drive claim resolution.
• Prepare and present large loss reports to internal and external audiences.
• Collaborate with defense counsel on litigation strategy and claim resolution.

Conocimientos

Communication

California claims knowledge

Negotiation

Educación

Associate in Claims (AIC)

Descripción del empleo

Great American Insurance Group’s Strategic Comp unit seeks an experienced Senior Claims Specialist to manage California and Oregon workers' compensation claims. The role involves investigating claims, determining compensability, setting reserves, and negotiating settlements while developing strategies for timely resolutions.

Remote position aligned to Pacific Time Zone business hours; travel occasionally may be required.