Workers' Comp Claims Specialist


Job Details

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, a Fortune 500 company. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty property and casualty operations, there are always opportunities here to learn and grow.


At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results. We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.


For over 50 years, Republic Indemnity has been a trusted partner for businesses across the western U.S., helping them effectively manage their workers' compensation costs. Our headquarters in Calabasas, California, along with additional offices in San Francisco and San Diego, serve as hubs for our operations. We specialize in workers' compensation primarily in California, with business presence in Alaska, Arizona, Nevada, and other western states.


At Republic, we believe in creating clear pathways for everyone - whether it's a broker, policyholder, injured worker, or colleague. We're committed to helping people reach their goals and achieve success. If you share this vision, we invite you to explore this exciting opportunity with us: the role of Workers' Compensation Claims Specialist.


The successful candidate needs to be organized with good time management skills and can multi-task while remaining calm and focused. You'll maintain phone and written contact with all necessary parties to verify coverage and to investigate, manage and resolve medical-only claims promptly and accurately. The person in this role will work a hybrid schedule of one day per week onsite in our San Francisco office. This is an excellent career opportunity as a Claims professional. Join us and make a difference!


Essential Job Functions and Responsibilities

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


Qualifications

  • Bachelor's Degree or equivalent experience.
  • Generally, 6 to 10 years of experience handling California Workers' Compensation claims.
  • Strong time management skills with the ability to multi-task.





 Republic Indemnity

 08/01/2024

 all cities,CA