Workers' Compensation Claims Specialist - Alternative Markets

Great American Insurance; United States; Remoto; USD 90.000 - 110.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

Dental coverage

Vision coverage

Wellness programs

Parental leave

Tuition reimbursement

Paid time off and holidays

401(k) with company match

Employee stock purchase plan

Commuter benefits

Descrizione del lavoro

Great American Insurance Group is hiring a Workers' Compensation Claims Specialist for a fully remote role in the United States. The position requires 5–10 years of WC claims handling experience, a Bachelor's degree or equivalent, and multi-state licensing (TX, CT, FL preferred).

The role falls within the Alternative Markets division, offering competitive benefits and opportunities to grow within a large insurer.

Competenze

• Bachelor's degree or equivalent experience.
• 5–10 years of Workers' Compensation claims handling experience.
• Licenses in TX, CT, FL desired. Multijurisdiction experience preferred.

Mansioni

• Investigates and maintains claims; reviews coverage and analyzes information.
• Acts toward resolution; attends arbitrations, mediations, or trials when needed.
• May settle within authority and advise supervisor on complex cases.
• Communicates complex coverage decisions clearly to all parties.
• Ensures timely, accurate claims payments.
• Ensures compliance with statutes, regulations and company policies.
• Provides guidance to lower-level staff and may coach others.
• Performs other duties as assigned.

Conoscenze

Claims handling

Licensing (multi-state)

Communication skills

Formazione

Bachelor's degree or equivalent

Descrizione del lavoro

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.

Great American's Alternative Markets Division was formed in 1999. The division specializes in mono-line and/or multi-line primary admitted programs on either a traditional guaranteed cost (Elite Programs) or risk-sharing basis (Agency Captives & Group Captives). Alternative Markets supports both niche programs and generalist portfolios, subject a minimum controlled rollover of $3,000,000 or more.

Alternative Markets - Great American Insurance Group

All partnerships, whether risk sharing or not, benefit from a high level of exclusivity, tailored underwriting and claims service. Lines of business supported include: Workers Compensation, General Liability, Property, Inland Marine, Auto Liability and bolt-on Cyber on a supporting Package, GL or BOP policy.

The Alternative Markets Division is hiring for a Workers' Compensation Claims Specialist! This is a fully remote opportunity.

Essential Job Functions and Responsibilities

• Investigates and maintains claims:
  • Reviews and evaluates coverage and/or liability.
  • Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
• Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary.
• May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
• Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Ensures that claims payments are issued in a timely and accurate manner.
• Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
• Provides technical advice to lower-level positions and other functional areas.
• 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 or equivalent experience.
• Field of Study: Liberal Arts, Business or a related discipline.
• Experience: Generally, 5 to 10 years of Workers' Compensation Claims handling experience.
• Multi-state adjusters licensing is required. Licenses in the following states is desired: TX, CT, FL.
• Multi jurisdiction experience preferred, but not required.

Business Unit:

Alternative Markets

Salary Range:

$90,000.00 -$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.