Senior Claims Specialist- Workers' Compensation
About The Position
Strategic Comp, a provider of workers' compensation insurance for large employers and part of Great American Insurance Group, is seeking an experienced Senior Claims Specialist to manage California workers' compensation claims from inception through resolution. The position investigates claims, evaluates compensability and benefits eligibility, establishes reserves, negotiates settlements, and develops strategies to achieve effective claim resolution. The company takes an aggressive and proactive approach to claims adjusting, emphasizing outcomes and strategic resolution. This is a remote position requiring work during Pacific Time Zone business hours, with occasional travel as needed. The position is not eligible for employment visa sponsorship; applicants must be authorized to work in the United States without current or future sponsorship.
Requirements
- Generally, 10+ years of workers' compensation claims adjusting experience, including complex or high-exposure claims.
- California workers' compensation experience is required.
- Strong knowledge of California workers' compensation laws, regulations, and claims practices.
- Ability to work Pacific Time Zone business hours.
- Ability to travel occasionally as needed.
- Strong written and verbal communication skills.
- Ability to work with a variety of internal and external contacts.
Nice To Haves
- Professional industry designations such as Associate in Claims (AIC).
Responsibilities
- Manage California workers' compensation claims from inception through resolution.
- Analyze claim facts and evaluate coverage, compensability, and benefits eligibility.
- Develop and execute strategies to achieve timely and favorable claim outcomes.
- Establish and maintain appropriate claim reserves.
- Negotiate settlements and bring claims to resolution.
- Communicate regularly with claimants, insureds, employers, and other stakeholders.
- Prepare and present large loss reports to internal and external audiences.
- Collaborate with defense counsel on litigation strategy and claim resolution.
- Partner with medical case managers, surveillance vendors, and other external resources.
- Ensure compliance with California workers' compensation laws and regulations.
- Maintain accurate and timely claim documentation.
- Analyze claim trends and exposure to support effective decision-making.
- Provide exceptional service while building strong relationships with customers and business partners.
Benefits
- Medical, dental, and vision coverage for full-time employees.
- Wellness plans.
- Parental leave.
- Adoption assistance.
- Tuition reimbursement.
- Paid time off for full-time and eligible part-time employees.
- Paid holidays for full-time and eligible part-time employees.
- 401(k) plan with company match for full-time and eligible part-time employees.
- Employee stock purchase plan for full-time and eligible part-time employees.
- Commuter benefits for full-time and eligible part-time employees.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
