Workers Comp Senior Claims Specialist -CA WC CLAIMS

National Interstate Insurance Company•Richfield, OH

21h•Hybrid

About The Position

National Interstate, a member of Great American Insurance Group, is a leading commercial transportation insurer operating in all 50 states. They provide diverse risk financing solutions, including traditional insurance and innovative alternative risk transfer (ART) programs, with over a dozen group captive programs for niche wheels markets. The company is recognized as a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace, attributing its success to a talented and dedicated team that upholds values of integrity, transparency, fairness, accountability, empowerment, and collaboration. National Interstate is committed to fostering an inclusive workplace where all employees can thrive. Since 1989, the company has specialized in the wheels-based transportation industry, developing expertise in product design, loss control, and claim services. National Interstate is seeking a Workers Comp Senior Claims Specialist. This role involves managing a large inventory of highly complex claims, evaluating compensability and liability, leading comprehensive investigations to confirm coverage and determine damages, and analyzing and negotiating claim settlements within prescribed authority. The specialist may also attend legal proceedings such as arbitrations, mediations, depositions, or trials, and is responsible for conveying complex information to various stakeholders and authorizing timely payments. The position requires maintaining accurate and detailed claim files. The role offers flexibility, allowing the individual to work either fully remote from anywhere in the USA or on a hybrid schedule from the Richfield, OH office.

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.
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.

Nice To Haves

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

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.