Senior Claims Specialist - CA Workers

Senior Claims Specialist - Pacific Time Zone

Location
:
California.
Posted
: 1 day ago.

Company Overview
:
Strategic Comp, part of Great American Insurance Group, focuses on workers’ compensation coverage, providing aggressive and proactive claims services.

Position Summary
:
Investigate and adjust workers' compensation claims with high potential exposure, using knowledge of California comp laws and strategy development to resolve claims. Work remotely from home within Pacific region with occasional travel for reviews and meetings.

• 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 for internal and external audiences
• Attending settlement conferences as assigned
• Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.

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

• A minimum of 10 to 13 years of California workers' compensation claims adjusting experience with higher exposure claims
• Current license to adjust workers’ compensation claims in California
• Strong consideration will be given to candidates with industry designations, including Associate in Claims
• Excellent written and verbal communication skills, able to work with a variety of internal and external contacts

$ - $

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. Both full‑time and eligible part‑time employees 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.