Senior Claims Representative-CA Workers Compensation

Great American Insurance Group

17h

About The Position

Alternative Markets specialized in mono-line and/or multi-line primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets Our Alternative Markets Division is looking for a Senior Claims Representative to join their Workers Compensation team. The ideal candidate would have a background in CA WC Claims.

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
• Generally, a minimum of 5 years of experience in workers compensation claims handling.
• Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge.
• Demonstrates excellent analytical, negotiation, and problem-solving skills.
• Maintains strong knowledge of insurance policies, coverage, and claims handling procedures.
• Maintains knowledge of industry laws and regulations.
• Advanced ability to organize and prioritize caseloads

Nice To Haves

• Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
• Licensed in multiple states a plus.

Responsibilities

• Manages a large inventory of claims, including medical only, indemnity and potential CAT
• Plans and conducts complex claims investigations to confirm coverage, casual relationship, benefits in compliance with state laws
• Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority.
• May attend arbitrations, mediations, depositions, or trials.
• Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
• 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level