Worker Compensation Senior Claims Representative - CA, AZ

National Interstate Insurance Company

101d • $68,000 - $75,000

About The Position

National Interstate Insurance is looking for a Worker Compensation Senior Claims Representative to join their team. This individual will work remotely. Essential Job Functions and Responsibilities include managing an inventory of claims to evaluate compensability/liability, planning and conducting claim investigations to confirm coverage and to determine liability, compensability and damages, determining and negotiating appropriate claim settlements/reserves within prescribed authority, and maintaining accurate and detailed claim files. The role may also involve attending arbitrations, mediations, depositions, or trials.

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 property and casualty claims handling.
• Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
• Certified in California and Arizona workers compensation preferred.
• Demonstrates strong analytical, negotiation, and problem-solving skills.
• Demonstrates knowledge of insurance policies, coverage, and claims handling procedures.
• Maintains knowledge of industry laws and regulations.
• Demonstrates 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.

Nice To Haves

• Completion of or continuing progress toward a professional designation such as Associate in Claims (AIC).
• Certification in California and Arizona workers compensation.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
• Determines and negotiates appropriate claim settlements/reserves within prescribed authority.
• May attend arbitrations, mediations, depositions, or trials.
• Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
• 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.
• Performs other duties as assigned.

Benefits

• Medical, dental, and vision plans starting on day one.
• PTO and paid holidays.
• Commuter benefits.
• Employee stock purchase plan.
• Education reimbursement.
• Paid parental leave/adoption assistance.
• 401(k) plan with company match.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 501-1,000 employees