Senior Workers' Comp Claims Strategist — PA/DE (Remote)

Great American Insurance Group

Northern (KY)

Hybrid

USD 95,000 - 110,000

Full time

6 days ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Wellness programs
Parental leave
Adoption assistance
Tuition reimbursement
Paid time off

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 operates on Eastern Time Zone business hours, focusing on aggressive, strategic claim resolution.

The ideal candidate has 10+ years of PA/DE WC claims adjusting, deep knowledge of applicable laws, and a Delaware license. Travel may be required; AIC designation is preferred.

Qualifications

  • 10+ years of Pennsylvania and Delaware workers' compensation claims adjusting experience.
  • Strong knowledge of Pennsylvania and Delaware workers' compensation laws and claims practices.
  • AIC designation preferred.
  • Ability to work Eastern Time Zone business hours and travel occasionally.
  • Delaware workers’ compensation license required; other licenses are a plus.

Responsibilities

  • Manage Pennsylvania and Delaware workers' compensation claims from inception to 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 and negotiate settlements.
  • Collaborate with defense counsel, medical case managers, and other external resources.
  • Ensure compliance with state laws and maintain accurate claim documentation.
  • Provide regular updates and large loss reports to stakeholders.

Skills

Claims adjusting
Strong communication
AIC designation
Delaware license
ET hours availability

Job description

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 operates on Eastern Time Zone business hours, focusing on aggressive, strategic claim resolution.

The ideal candidate has 10+ years of PA/DE WC claims adjusting, deep knowledge of applicable laws, and a Delaware license. Travel may be required; AIC designation is preferred.

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