CA Workers' Comp Claims Specialist

Great American Insurance Group (Dba) San Francisco , CA 94118

Posted 6 days ago

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 35 specialty property and casualty operations, there are always opportunities here to learn and grow.

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.

Our Vision: Clear Paths to Success

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 position requires someone who is organized with good time management skills, and who 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 position requires working 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.

Job Requirements

Education: Bachelor's Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: Generally, 6 to 10 years of experience handling California Workers' Compensation claims.

Company:

RICA Republic Indemnity Company of America

Salary Range:

$96,000.00 -$125,000.00

Benefits:

The wage range for this job is based on role, level, and location. Within the range, individual pay takes into account a variety of factors that are considered in making compensation decisions including but not limited to skills, education, training, licensure and certifications, experience of the candidate, the role's scope, complexity, and other business and organizational needs. In addition to the base compensation, we offer a competitive Total Rewards package, which includes but is not limited to medical, dental, vision, paid time off, and 401(k) plan for full-time and part-time employees who are eligible for benefits.

Your recruiter may be able to tell you more about our total rewards offerings and the specific wage range for the relevant location(s) during the hiring process.


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