[Hiring] Senior Workers Comp Claims Specialist @Great American Insurance Group

Role Description

National Interstate is looking for a California Senior Workers Comp Claims Specialist to join their team. This individual will work fully remote from the USA.

• 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.

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.

Requirements

• 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.

Benefits

• 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.
• Paid Time Off and paid holidays for full-time and eligible part-time employees.
• 401(k) plan with company match.
• Employee stock purchase plan and commuter benefits.