Workers Comp CA Senior Claims Specialist- Remote-

Summit Consulting; California (MO); Hybrid; USD 95.000 - 105.000; Vollzeit

Benefits dieser Stelle

Medical, dental & vision coverage

401(k) with company match

Paid time off & holidays

Tuition reimbursement

Parental leave & adoption assistance

Commuter benefits

Zusammenfassung

NIIC National Interstate Insurance Company seeks a CA Senior Workers' Comp Claims Specialist to join the team. The role offers hybrid work from Richfield, OH four days a week or full remote work from anywhere in the USA, with on‑site expectations as needed.

Applicants must be authorized to work in the US without sponsorship. The ideal candidate will manage complex claims, lead investigations, negotiate settlements, and ensure accurate documentation while mentoring others.

Qualifikationen

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or related field or equivalent experience.
• Minimum of 13 years of experience in property and casualty claims handling.
• Professional designation such as Associate in Claims (AIC) preferred.
• CA Workers' Compensation experience is preferred.

Aufgaben

• Manages a large inventory of highly complex claims to evaluate compensability/liability.
• Leads comprehensive claims investigations to confirm coverage and determine liability, compensability and damages.
• Analyzes and negotiates appropriate claim settlements/reserves within authority.
• May attend arbitrations, mediations, depositions, or trials.
• Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments within assigned authority limit, ensuring timely disbursement.
• Maintains detailed claim files with all correspondence, reports, and settlement agreements.
• May supervise staff and participate in talent decisions for direct reports.
• Performs other duties as assigned.

Kenntnisse

Analytical skills

Negotiation

Communication

Problem solving

Leadership

Ausbildung

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or related field

Jobbeschreibung

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.

Since 1989, National Interstate has specialized in serving the insurance needs of the wheels-based transportation industry. Our steadfast focus on developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected names in commercial transportation insurance today. (https://natl.com/) 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:

NIIC National Interstate Insurance Company

Salary Range:

$95,000.00 -$105,000.00

Benefits:

• 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.
• National Interstate Insurance Company, and our wholly owned subsidiary, Vanliner Insurance Company, are proud members of Great American Insurance Group.

We provide highly innovative insurance solutions and world‑class customer service for a variety of commercial transportation industries. Our success is a reflection of our highly motivated team of employees. See CAREERS to learn more.