Great American Insurance Group Logo

Great American Insurance Group

Senior Claims Representative-CA Workers Compensation

Posted 16 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in California
80K-106K Annually
Senior level
Remote
Hiring Remotely in California
80K-106K Annually
Senior level
Manage a large inventory of California workers’ compensation claims, perform complex investigations, set reserves, negotiate settlements, authorize payments, maintain accurate files, and coach staff while ensuring compliance with state laws and company procedures.
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.

Job Description

Alternative Markets specialized in mono-line and/or multi-line primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs.

https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets

Our Alternative Markets Division is looking for a Senior Claims Representative to join their Workers Compensation team. The ideal candidate would have a background in CA WC Claims.

Essential Job Functions and Responsibilities

  • Manages a large inventory of claims, including medical only, indemnity and potential CAT
  • Plans and conducts complex claims investigations to confirm coverage, casual relationship, benefits in compliance with state laws
  • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
  • 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.
  • Performs other duties as assigned.

Job 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 5 years of experience in workers compensation claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC). Licensed in multiple states a plus.

Scope of Job/Qualifications: Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads,

This job is non-exempt in California and Washington

Business Unit:

Alternative Markets


Salary Range:

$80,000.00 -$106,000.00

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

6 Hours Ago
Remote or Hybrid
San Francisco, CA, USA
Senior level
Senior level
Artificial Intelligence • Fintech • Payments • Business Intelligence • Financial Services • Generative AI
Responsible for managing workplace operations and employee experience across offices, overseeing facilities, vendor relationships, budgeting, and promoting workplace culture through events and initiatives.
Top Skills: AuditboardGoogle SuiteIroncladOraclePigmentSlack
6 Hours Ago
Remote or Hybrid
San Francisco, CA, USA
Expert/Leader
Expert/Leader
Artificial Intelligence • Fintech • Payments • Business Intelligence • Financial Services • Generative AI
In this role, you'll develop corporate development strategy, execute M&A transactions, manage investor relationships, and support fundraising activities.
Top Skills: Data AnalysisFinancial Modeling
6 Hours Ago
Remote or Hybrid
San Francisco, CA, USA
Mid level
Mid level
Artificial Intelligence • Fintech • Payments • Business Intelligence • Financial Services • Generative AI
The Senior Analyst in Merchant Risk Operations executes complex risk reviews, builds systems and dashboards, and collaborates with stakeholders to streamline processes and improve operational efficiency.
Top Skills: LookerSigmaSQLTableau

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