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Senior Claims Specialist, Remote - CA Workers' Compensation

Remote · Malaysia Full-time

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do! Currently we have an opening for a Senior Claims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you. Here’s who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG’s common stock is listed and traded on the New York Stock Exchange (“NYSE”) and NASDAQ under the symbol “AFG”. Here’s what we do. We insure workers’ compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We’ve found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too! Here’s what you would be doing if hired for the Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory’s comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The candidate hired for this position will work from an office in their home with occasional travel to claims reviews and meetings in the Pacific Region. Candidate hired for this position will be required to work Pacific Time Zone business hours.

Responsibilities

  • Investigating losses
  • Analyzing coverage, determining compensability and benefits
  • Establishing reserves and negotiating settlements
  • Conducting meetings on the phone with insureds and claimants
  • Preparing large loss reports to both internal and external audiences
  • Attending settlement conferences as assigned
  • Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.

Physical Requirements

  • Sedentary - requires prolonged sitting, continuous use of computer
  • Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings

Qualifications

  • Although we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims
  • Current license to adjust workers’ compensation claims in California is required
  • Ability to work Pacific Time Zone business hours is required
  • Strong consideration will be given to candidates with industry designations including Associate in Claims
  • You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts

Business Unit Strategic Comp Salary Range $110,000.00 -$120,000.00

Benefits

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

  • Excludes seasonal employees and interns.

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