Workers Comp Senior Claims Specialist Remote -CA WC CLAIMS

About the role

National Interstate is seeking a Workers Comp Senior Claims Specialist to join their team. The position is hybrid, with a mix of in-office and remote work.

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
• Attends 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

Requirements

• Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
• Experience: Generally, a minimum of 13 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)

Qualifications

• 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

Pay

$90,000.00 - $95,000.00

Schedule

This role is hybrid, with a mix of in-office and remote work. Core in-office days are Tuesday–Thursday, with the fourth day determined by business needs.

Benefits

• Competitive benefits packages for full-time and part-time employees
• Medical, dental, and vision coverage
• Wellness plans
• Parental leave
• Affordable care act compliant health plan
• Parental leave
• Adoption assistance
• Tuition reimbursement
• Commuter benefits
• Paid time off and paid holidays
• 401(k) plan with company match
• Employee stock purchase plan