Workers' Compensation Claims Specialist - Alternative Markets

Great American Insurance Group•OH Work at Home, OH

27d•$90,000 - $110,000•Remote

About The Position

Great American Insurance Group's Alternative Markets Division, established in 1999, specializes in mono-line and/or multi-line primary admitted programs. These programs operate on either a traditional guaranteed cost (Elite Programs) or risk-sharing basis (Agency Captives & Group Captives). The division supports both niche programs and generalist portfolios, requiring a minimum controlled rollover of $3,000,000 or more. All partnerships, regardless of risk-sharing, are characterized by a high level of exclusivity, tailored underwriting, and claims service. The lines of business supported include Workers Compensation, General Liability, Property, Inland Marine, Auto Liability, and bolt-on Cyber coverage on supporting Package, GL, or BOP policies. The Alternative Markets Division is currently hiring a Workers’ Compensation Claims Specialist for a fully remote opportunity.

Requirements

Bachelor’s Degree or equivalent experience.
Field of Study: Liberal Arts, Business or a related discipline.
Generally, 5 to 10 years of Workers’ Compensation Claims handling experience.
Multi-state adjusters licensing is required.

Nice To Haves

Licenses in the following states is desired: TX, CT, FL.
Multi jurisdiction experience preferred, but not required.

Responsibilities

Investigates and maintains claims.
Reviews and evaluates coverage and/or liability.
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary.
May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
Ensures that claims payments are issued in a timely and accurate manner.
Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
Provides technical advice to lower-level positions and other functional areas.
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.