WFH.teamOpen app$105k-$125k
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Decision details from the source listing
10+ years stated
Listed as unavailable
Must be authorized to work in the United States without current or future sponsorship
fixed
Pacific Time Zone business hours
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What this posting tells you
Remote Senior Claims Specialist managing California and Oregon workers' compensation claims. California experience is required; Oregon experience is preferred. Requires generally 10+ years of workers' compensation adjusting experience, including complex or high-exposure claims. The role follows Pacific Time Zone business hours, and occasional travel may be needed. Salary range is $105,000–$125,000. Visa sponsorship is not available.
Insurance claims, Finance and investments, Healthcare admin, HR and recruiting, Legal, Operations, Security, Customer support
United States
Pacific Time
Senior · part-time · full-time
Insurance claims hiring on WFH.team
This role's listed pay is below the median among 199 comparable roles shown here. Category counts come from WFH.team's latest published remote job market snapshot.
Explore the remote job marketSenior Claims Specialist- Workers' Compensation at GAIC Great American Insurance Company
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 California and Oregon 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 a 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 an adjuster who is very skilled at developing strategies to bring claims to resolution. This is a remote position that requires working Pacific Time Zone business hours.
Responsibilities
- Manage California and Oregon 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 California and Oregon 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 workers' compensation claims adjusting experience, including complex or high-exposure claims. California experience required; Oregon experience also preferred but not required.
- Strong knowledge of California workers' compensation laws, regulations, and claims practices. Knowledge of Oregon workers' compensation laws and claims practices is a plus.
- Professional industry designations such as Associate in Claims (AIC) are preferred.
- Ability to work Pacific 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
$105,000.00 -$125,000.00
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.
Working remotely at GAIC Great American Insurance Company
GAIC Great American Insurance Company is hiring for 9 active remote roles, with remote-friendly openings, application links, and job details refreshed from the public remote job inventory.
Remote hiring signal is inferred from active confirmed-remote job listings.