Senior Claims Specialist, Remote - CA Workers Compensation

Posted 23 Days Ago
Be an Early Applicant
17 Locations
In-Office or Remote
110K-120K Annually
Senior level
Insurance
The Role
Investigate and adjust high-exposure California workers' compensation claims: analyze coverage and compensability, set reserves, negotiate settlements, prepare large-loss reports, coordinate with defense counsel and vendors, attend settlements and occasional in-person claim reviews. Remote office work on Pacific Time with occasional overnight travel.
Summary Generated by Built In

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. 

Here’s what you would be doing if hired for the Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory’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.  The candidate hired for this position will work from an office in their home with occasional travel to claims reviews and meetings in the Pacific Region. Candidate hired for this position will be required to work Pacific Time Zone business hours.

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.

Physical Requirements

  • Sedentary - requires prolonged sitting, continuous use of computer

  • Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings

Qualifications

  • Although we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims

  • Current license to adjust workers’ compensation claims in California is required

  • Ability to work Pacific Time Zone business hours is required

  • Strong consideration will be given to candidates with industry designations including Associate in Claims

  • 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

#LI-StrategicComp

Business Unit:

Strategic Comp


Salary Range:

$110,000.00 -$120,000.00

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.

Skills Required

  • 10+ years of California workers' compensation claims adjusting experience (7+ considered for exceptional candidates)
  • Current license to adjust workers' compensation claims in California
  • Ability to work Pacific Time Zone business hours
  • Proven success handling higher exposure claims and developing resolution strategies
  • Excellent written and verbal communication skills
  • Industry designations such as Associate in Claims
  • Authorized to work in the United States without the need for sponsorship

Great American Insurance Group Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Great American Insurance Group and has not been reviewed or approved by Great American Insurance Group.

  • Leave & Time Off Breadth PTO, paid holidays, and paid parental leave are positioned as generous from the first year. These time‑off provisions are seen as core strengths of the total package.
  • Healthcare Strength Health coverage includes comprehensive medical, dental, and vision options supported by HSA and FSA programs. Wellness resources such as EAP access, fitness facilities or reimbursements, and instructor‑led classes broaden the offering.
  • Retirement Support Immediate 401(k) eligibility with a competitive company match and potential discretionary retirement contributions support long‑term savings. An employee stock purchase option and various discounts further reinforce financial benefits.

Great American Insurance Group Insights

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The Company
HQ: Cincinnati, OH
4,738 Employees

What We Do

Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses. We have more than 30 specialty property and casualty insurance businesses, and in 2021, approximately 50% of our gross written premium in our property and casualty operations was generated by business units with a Top 10 market ranking. Great American Insurance Company has received an "A"​ (Excellent) or higher rating from the AM Best Company for more than 110 years (most recent rating evaluation of "A+"​ (Superior) affirmed December 3, 2021). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.

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