Senior Workers Comp Claims Specialist

This is a fully remote position, open to applicants in California.

📋 Description

• Oversee a substantial inventory of intricate claims to assess compensability and liability.

• Direct thorough claims investigations to validate coverage and ascertain liability, compensability, and damages.

• Evaluate and negotiate claim settlements and reserves within established authority limits.

• Participate in arbitrations, mediations, depositions, or trials as necessary.

• Communicate complex coverage and settlement details to insured parties, claimants, and external stakeholders.

• Approve payments within designated authority limits and ensure prompt disbursement.

• Keep precise and comprehensive claim files, encompassing correspondence, reports, and settlement agreements.

• May mentor staff and engage in talent selection, development, and performance management processes.

• Execute other responsibilities as assigned.

⛳️ Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related discipline, or equivalent experience.

• Typically, at least 13 years of experience in handling property and casualty claims.

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

• Experience with California workers’ compensation is preferred.

• Strong analytical, negotiation, and problem-solving capabilities.

• In-depth knowledge of insurance policies, coverage, and claims handling practices.

• Familiarity with industry laws and regulations.

• Advanced skills in organizing and prioritizing caseloads.

• Exceptional interpersonal and communication abilities.

• Capacity to cultivate relationships and lead negotiations.

• Demonstrated ability to manage confidential information with care.

• Must have authorization to work in the United States without the need for current or future sponsorship.

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Wellness plans

• Parental leave

• Adoption assistance

• Tuition reimbursement

• Paid Time Off

• Paid holidays

• 401(k) plan with company match

• Employee stock purchase plan

• Commuter benefits