Great American Insurance Group Logo

Great American Insurance Group

Senior Claims Specialist - Workers Compensation

Posted Yesterday
Be an Early Applicant
Remote
2 Locations
100K-115K Annually
Senior level
Remote
2 Locations
100K-115K Annually
Senior level
Manage Kansas and Missouri workers’ compensation claims from inception through resolution. Responsibilities include investigating claims, evaluating coverage and compensability, setting reserves, negotiating settlements, developing resolution strategies, preparing large-loss reports, collaborating with counsel and vendors, maintaining documentation, analyzing claim trends, and communicating with claimants, employers, customers, and internal stakeholders.
The summary above was generated by AI

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.

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

Who We Are 

Strategic Comp is a leading provider of workers' compensation insurance for large employers committed to protecting their workforce. As part of Great American Insurance Group, we combine the strength and stability of a trusted organization with more than 150 years of history with the entrepreneurial spirit of a growing business. 

Through our specialized insurance expertise and field-based service model, we build lasting partnerships and deliver exceptional results for our customers. Our culture is built on collaboration, excellence, and a shared commitment to serving our customers and one another. 

Position Summary

Strategic Comp is seeking an experienced Senior Claims Specialist to manage Kansas and Missouri workers' compensation claims. This role is responsible for investigating claims, determining compensability, establishing reserves, negotiating settlements, and developing strategies that drive effective claim resolution.

We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their jurisdiction’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. This is a remote position that requires working Central Time Zone business hours. Candidates may work from any state in the US.

Responsibilities

  • Manage Kansas and Missouri workers' compensation claims from inception through resolution.
  • Analyze claim facts and evaluate coverage, compensability, and benefits eligibility.
  • Develop and execute strategies to achieve timely and favorable claim outcomes.
  • Establish and maintain appropriate claim reserves.
  • Negotiate settlements and bring about claim resolution.
  • Communicate regularly with claimants, insureds, employers, and other stakeholders.
  • Prepare and present large loss reports to internal and external audiences.
  • Collaborate with defense counsel on litigation strategy and claim resolution.
  • Partner with medical case managers, surveillance vendors, and other external resources.
  • Ensure compliance with Illinois workers' compensation laws and regulations.
  • Maintain accurate and timely claim documentation.
  • Analyze claim trends and exposure to support effective decision-making.
  • Provide exceptional service while building strong relationships with customers and business partners.

Qualifications

  • Generally, 10+ years of Kansas and Missouri workers' compensation claims adjusting experience, including complex or high-exposure claims.
  • Strong knowledge of Kansas and Missouri workers' compensation laws, regulations, and claims practices.
  • Professional industry designations such as Associate in Claims (AIC) are preferred.
  • Ability to work Central Time Zone business hours and travel occasionally as needed.
  • 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:

$100,000.00 -$115,000.00

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.

Similar Jobs

11 Days Ago
Remote
USA
100K-110K Annually
Senior level
100K-110K Annually
Senior level
Insurance
Manage workers' compensation claims end-to-end, conduct reserve analyses and claim reviews, identify high-risk exposures, facilitate return-to-work programs, provide stakeholder consultations, analyze claims data, and lead special projects to optimize claims processes and reduce total cost of risk.
Top Skills: Google DocsGoogle SheetsGoogle Slides
34 Seconds Ago
Remote
United States
70K-85K Annually
Mid level
70K-85K Annually
Mid level
Artificial Intelligence • Healthtech • Insurance • Machine Learning • Payments
Reviews high-dollar inpatient facility bills, medical records, and automated audit results for coding, billing, documentation, and payment accuracy. Audits UB-04s, revenue codes, and itemized charges against clinical records and national or payer-specific guidelines. Documents claim inconsistencies, confirms services were rendered, researches coding accuracy, and helps train automated claims-auditing systems. Requires inpatient coding or auditing experience, a coding certification, and at least three years of bill review experience.
Top Skills: ApcsCptDrgsHcpcsHipaaIcd-10Icd-9Itemized BillsPhiPos CodesUb-04
37 Seconds Ago
Remote or Hybrid
United States
70K-170K Annually
Entry level
70K-170K Annually
Entry level
Artificial Intelligence • Healthtech • Insurance • Machine Learning • Payments
Alaffia’s Talent Pool invites candidates interested in future opportunities at its NYC-based healthcare AI startup. Applicants can submit their information and a cover letter describing their motivation and preferred business areas or roles. The talent team will retain profiles and proactively contact candidates when suitable positions become available. The company develops AI-powered copilots and agents to reduce healthcare administrative burden, billing waste, and costs.
Top Skills: Artificial Intelligence (Ai)

What you need to know about the Charlotte Tech Scene

Ranked among the hottest tech cities in 2024 by CompTIA, Charlotte is quickly cementing its place as a major U.S. tech hub. Home to more than 90,000 tech workers, the city’s ecosystem is primed for continued growth, fueled by billions in annual funding from heavyweights like Microsoft and RevTech Labs, which has created thousands of fintech jobs and made the city a go-to for tech pros looking for their next big opportunity.

Key Facts About Charlotte Tech

  • Number of Tech Workers: 90,859; 6.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Lowe’s, Bank of America, TIAA, Microsoft, Honeywell
  • Key Industries: Fintech, artificial intelligence, cybersecurity, cloud computing, e-commerce
  • Funding Landscape: $3.1 billion in venture capital funding in 2024 (CED)
  • Notable Investors: Microsoft, Google, Falfurrias Management Partners, RevTech Labs Foundation
  • Research Centers and Universities: University of North Carolina at Charlotte, Northeastern University, North Carolina Research Campus

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account