Senior Claims Specialist - Workers Compensation

Great American Insurance Group; Pennsylvania; On-site; USD 95,000 - 110,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) plan with company match

Paid time off and holidays

commuter benefits

Job summary

Strategic Comp, part of Great American Insurance Group, seeks an experienced Senior Claims Specialist to manage Pennsylvania and Delaware workers' compensation claims. This remote role follows Eastern Time Zone business hours and requires strong claims strategy and collaboration with counsel.

Ideal candidates have 10+ years' PA/DE WC claims experience, PA and DE license, and AIC designation preferred. Travel occasionally may be needed as part of duties.

Qualifications

• 10+ years of PA and DE workers' compensation claims adjusting experience, including complex or high-exposure claims.
• Strong knowledge of PA/DE workers' compensation laws, regulations, and practices.
• Delaware workers’ compensation license is required; other state licenses are a plus.

Responsibilities

• Manage PA and DE workers' compensation claims from inception through resolution.
• Analyze claim facts, evaluate coverage, compensability, and benefits eligibility.
• Develop and execute strategies to achieve timely, favorable claim outcomes.
• Establish reserves and negotiate settlements.
• Maintain claim documentation and communicate with claimants, insureds, employers, and stakeholders.
• Collaborate with defense counsel on litigation strategy and resolution.

Skills

Communication skills

ETZ availability

Travel flexibility

Education

Delaware workers’ compensation license required

AIC designation preferred

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.

Position Summary

Strategic Comp is seeking an experienced Senior Claims Specialist to manage Pennsylvania and Delaware workers' compensation claims. This role is responsible for investigating claims, determining compensability, establishing reserves, negotiating settlements, and developing strategies that drive effective claim resolution. We take an extremely aggressive and proactive approach to claim adjusting and are looking for the person who not only knows their jurisdiction’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 an adjuster who is very skilled at developing strategies to bring claims to resolution. This is a remote position that requires working Eastern Time Zone business hours.

Responsibilities

• Manage Pennsylvania and Delaware 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 Illinois 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.

Qualifications

• 10+ years of Pennsylvania and Delaware workers' compensation claims adjusting experience, including complex or high-exposure claims.
• Strong knowledge of Pennsylvania and Delaware workers' compensation laws, regulations, and claims practices.
• Professional industry designations such as Associate in Claims (AIC) are preferred.
• Ability to work Eastern 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.
• Delaware workers’ compensation license is required.
• Additional state licenses are a plus.

Business Unit: Strategic Comp Salary Range: $95,000.00 -$110,000.00 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