Workers Comp CA Senior Claims Specialist- Remote-

Vanliner Insurance CompanyNE Work at Home, NE
$95,000 - $105,000Remote

About The Position

National Interstate is a member of Great American Insurance Group and is a leading commercial transportation insurer in the nation. They offer risk financing solutions in all 50 states, including traditional insurance and alternative risk transfer programs. The company values integrity, transparency, fairness, accountability, empowerment, and collaboration. This position is fully remote within the USA and is not eligible for employment visa sponsorship. National Interstate has specialized in serving the insurance needs of the wheels-based transportation industry since 1989, focusing on product design, loss control, and claim services. This role involves managing a large inventory of complex claims, conducting investigations to determine liability and compensability, and negotiating settlements. The specialist will communicate complex information to various stakeholders, authorize payments, and maintain detailed claim files. There may be responsibilities related to staff performance, coaching, and talent management.

Requirements

  • 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.
  • 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.
  • Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Nice To Haves

  • Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
  • Prefer CA Work Comp Experience

Responsibilities

  • 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.

Benefits

  • medical, dental, and vision coverage
  • wellness plans
  • parental leave
  • adoption assistance
  • tuition reimbursement
  • Paid Time Off
  • paid holidays
  • a 401(k) plan with company match
  • an employee stock purchase plan
  • commuter benefits
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