California Workers' Compensation Claims Specialist - Alternative Markets

United StatesRemotemid

Legal & ComplianceClaims Specialist

0 views0 saves0 applied

Apply Now

Quick Summary

Requirements Summary

Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Dem

Technical Tools

Legal & ComplianceClaims Specialist

Responsibilities

~1 min read

→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.

Requirements

~1 min read

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.

Generally, 5 or more years of experience in workers compensation claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

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, 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. Viewed as a senior resource within the Claims department and/or organization.

Alternative Markets

$87,120.00 -$117,480.00

What We Offer

~1 min read

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.

Location & Eligibility

Where is the job

United States

Remote within one country

Who can apply

About this job

Pay per year: $87,120–$117,480 a year; 33% above the $77,100 median for Claims Specialist jobs on Jobera (107 salaries).
Who can apply: United States
Posted: Today
Employer: has 279 open jobs on Jobera in 2 countries.