Workers Comp CA Senior Claims Specialist- Remote-

gaig; California (MO); Hybrid; USD 95,000 - 105,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) plan with company match

Paid time off and holidays

Commuter benefits

Job summary

Great American Insurance Group is seeking a CA Senior Workers' Comp Claims Specialist to join the team. The role allows a four-on-site week in Richfield, OH or full remote work from anywhere in the United States, with core in-office days and one remote day as needed.

The position requires handling highly complex claims, strong analytical and negotiation skills, and leadership abilities to guide staff. A bachelor’s degree and extensive claims experience are expected.

Qualifications

• Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
• Generally, a minimum of 13 years of experience in property and casualty claims handling.
• Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
• Prefer CA Work Comp Experience

Responsibilities

• Manages a large inventory of highly complex claims to evaluate compensability/liability.
• Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages.
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
• Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
• Performs other duties as assigned.

Skills

Analytical skills

Negotiation

Problem-solving

Communication

Leadership

Education

Bachelor's Degree in Business Administration

Risk Management and Insurance

Finance

Job description

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you!

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.

National Interstate is looking for a CA Senior Workers Comp Claims Specialist to join their team. This individual will either work hybrid from the Richfield, OH office 4 days per week or work fully remote from the USA, if not local to the office

National Interstate’s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely. Core in office days are Tuesday-Thursday, with the fourth day determined by business needs.

Essential Job Functions and Responsibilities

• Manages a large inventory of highly complex claims to evaluate compensability/liability.
• Strategically orchestrates and leads comprehensive claims investigations to confirm coverage and to determine liability, compensability and damages.
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
• Conveys highly complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority limit, ensuring timely disbursement.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
• Performs other duties as assigned.

Job Requirements

Education: Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.

Experience: Generally, a minimum of 13 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

Prefer CA Work Comp Experience

Scope of Job/Qualifications: Works at the highest authority limits on assignments of the highest technical complexity and coordination. Excellent analytical, negotiation, and problem-solving skills. Demonstrates expert knowledge of insurance policies, coverage, and claims handling procedures. Maintains and leverages knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Recognized as a subject matter expert within the company, potentially operating at a peer level to management.

Company:

Salary Range: $95,000.00 -$105,000.00

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.