Jobs · Administrative · California

Workers Comp Senior Claims Specialist Remote -CA WC CLAIMS

National Interstate Insurance Company · Home Gardens, CA · 2 days ago
Administrative$90k–$95k/yrFull-time

About the role

National Interstate is seeking a Workers Comp Senior Claims Specialist to join their team. This position is hybrid, working out of the Richfield, OH office 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
  • May attend 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

Benefits

  • Competitive benefits packages for full-time and part-time employees
  • Medical, dental, and vision coverage
  • Wellness plans, parental leave, adoption assistance, and tuition reimbursement
  • Paid Time Off and paid holidays
  • A 401(k) plan with company match
  • Employee stock purchase plan
  • Commuter benefits

Pay

$90,000.00 - $95,000.00

Schedule

Hybrid schedule, in-office 4 days a week, with the fourth day determined by business needs. Core in-office days are Tuesday–Thursday.

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