Field Claims Specialist - CA Workers' Compensation

Great American Insurance Group Los Angeles , CA 90009

Posted 3 months ago

Overview

Seniority Level: Mid - Senior

When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile?

Never?

Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact we received 98% rating for overall job satisfaction from the participants in our last employee survey, making it no surprise that our employee turnover is less than 3%. This clearly indicates the passion and energy our staff has for our company and for the job they do . . . and they never want to work anywhere else!

A big reason for these successes is due to our careful matching of the right job with the right person. Currently we have an opening for a Field Claims Specialist in your territory.

Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you.

Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872.

Based in Cincinnati, Ohio, the operations of Great American Insurance Group (A.M. Best A:XIV) are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses and in the sale of annuities. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc.

AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG".

Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none.

We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning our customers don't want to leave us either!

Here's what you would be doing if hired for the Field Claims Specialist position. Your role would be to investigate and adjust workers' comp claims with the highest potential exposure.

We take an extremely aggressive and pro-active approach in 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 person hired for this position will work from an office in their home about 40% of the time. The remainder of the time, approximately 60%, is for travel, including some overnight.

Responsibilities

Investigating losses. Analyzing coverage, determining compensability and benefits.

Establishing reserves and negotiating settlements. Conducting face-to-face meetings with claimants and insureds. Preparing large loss reports to both internal and external audiences.

Attending settlement conferences, pre-trials and trials as assigned. Working closely with defense attorneys and other vendors including medical case management, surveillance, etc.

Physical Requirements:
Travel (requires frequent travel) & Sedentary (requires prolonged sitting, continuous use of computer)

Qualifications

To apply, you must have a minimum of 10 years of California workers' compensation claims adjusting experience with higher exposure claims. 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. You also need to have experience and skills in the use of computers and software programs as these are used extensively in this position.

Application Instructions:

Please select "Apply for this job online" to upload the following items in one document:

  • Your resume

  • Three work references (including current contact information)

  • A cover letter telling us why you feel that you are a good match for this position.

We will not consider any resumes that do not include a detailed cover letter and three work references.



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Workers Compensation Analyst (1774)

The City Of Los Angeles

Posted 1 week ago

VIEW JOBS 2/14/2020 12:00:00 AM 2020-05-14T00:00 DUTIES ANNUAL SALARY $85,378 to $106,070 The salary in the Department of Water and Power is $84,501 to $105,005. NOTES: * For information regarding reciprocity between the City of Los Angeles departments and LADWP, go to http://per.lacity.org/Reciprocity_CityDepts_and_DWP.pdf. * Annual salary is at the start of the pay range. The current salary is subject to change. Please confirm the starting salary with the hiring department before accepting a job offer. DUTIES A Workers' Compensation Analyst administers Workers' Compensation benefits for injured employees; authorizes appropriate treatment and assures that treatment is prompt, adequate, and economical; interviews injured employees, physicians, and witnesses and does other field investigation work; and discusses cases with attorneys, physicians, representatives of employee groups, and other persons involved in Workers' Compensation. REQUIREMENT(S)/MINIMUM QUALIFICATION(S) * One year of full-time paid experience as an indemnity claims examiner adjusting workers' compensation claims; or * Two years of full-time paid experience as a Workers' Compensation Claims Assistant with the City of Los Angeles. PROCESS NOTES * Some positions may require a valid California driver's license. Candidates may not be eligible for appointment to these positions if their record within the past 36 months reflects three or more moving violations and/or at-fault accidents, or convictions of major moving violations (such as DUI). * A "Self-Insurance Administrator's Examination Certificate of Achievement" issued by the State of California (per California Code Regulations Section 15452) is desired. Some employees in the class of Workers' Compensation Analyst, Code 1774, who obtain a Self-Insurance Administrator's Examination Certificate of Achievement" issued by the State of California shall receive a biweekly bonus of $70.00. This bonus shall commence at the beginning of the payroll period next succeeding the date the employee presents proof of said Certificate of Achievement. WHERE TO APPLY & APPLICATION DEADLINE Applications will only be accepted on-line. When you are viewing the on-line job bulletin of your choice, simply scroll to the top of the page and select the "Apply" icon. On-line job bulletins are also available at https://www.governmentjobs.com/careers/lacity. NOTE: Applicants are urged to apply early to ensure you have time to resolve any technical issues you may encounter. APPLICATION DEADLINE Applications will only be accepted on-line on the following dates listed below: From 8:00 am Friday, January 24, 2020 to 11:59 pm, Thursday, February 6, 2020 From 8:00 am Friday, January 15, 2021 to 11:59 pm, Thursday, January 28, 2021 The examination may close without prior notice at any time after a sufficient number of applications have been received. Filing periods may change without prior notice or additional dates may be added, as needed, at a later date. For administrative purposes, filing will close periodically and reopen on the dates noted in the "Application Deadline" section of this bulletin. In accordance with Civil Service Rule 4.2, all applicants who apply may not be tested in this examination. To meet anticipated hiring needs, only a limited number of qualified applicants will be invited to participate in the multiple-choice test in the following order: 1) Los Angeles City Promotional applicants who meet the minimum requirements. You must have received a regular appointment to a City position or be on a reserve list to apply for this examination as a promotional candidate; 2) Applicants currently employed by the City of Los Angeles on a part-time or exempt basis who meet the minimum requirements; 3) Remaining applicants who meet the minimum requirements in sufficient numbers to meet hiring needs in the order that applications were received. Applicants not selected to be tested may re-apply in a subsequent filing period in order to be considered for that period's selection process. SELECTION PROCESS Examination Weight: Multiple-Choice Test - Qualifying Essay - Advisory Interview - 100% The examination will consist of qualifying multiple-choice test, an advisory essay, and an interview. In the qualifying multiple-choice test, candidates may be examined for the following competencies: Judgment and Decision Making, Analytical Ability, Customer Service, Written Communication, Job Knowledge, including knowledge of: State policies as they apply to workers' compensation benefits; mandatory benefit notices, payment methods, reimbursement requirements, collection agencies, and lien claimants; the California State Labor Code, as it relates to occupational injuries and workers' compensation claims; the Rules of the Workers' Compensation Appeals Board (WCAB); medical and anatomical terminology; the Permanent Disability Rating System; the Independent Medical Review (IMR), Utilization Review (UR), and Independent Bill Review (IBR) rules, regulations, and procedures as set forth by the Department of Industrial Relations Medical Unit; utilization review processes and guidelines; and other necessary skills, knowledge, and abilities. Prior to the multiple-choice test, applicants will be required to prepare some written material related to the work of a Workers' Compensation Analyst employed by the City of Los Angeles. This essay material will not be separately scored, but will be presented to the interview board for discussion with the candidate and for consideration in the overall evaluation of the candidate's qualifications. Please note that applicants must complete the advisory essay and meet minimum qualifications as stated on this bulletin in order to be considered further in the examination process. To be considered complete, the advisory essay must include a substantive response for each question or problem included in the advisory essay for which a candidate is required to provide an answer. The advisory essay will be administered on-line. Applicants will receive an e-mail from the City of Los Angeles outlining the specific steps needed to complete the on-line advisory essay. Applicants will be required to complete the on-line advisory essay between TUESDAY, MARCH 31, 2020 and TUESDAY, APRIL 7, 2020. Additional instructions will be sent via e-mail. Applicants who fail to complete the advisory essay as instructed may be disqualified. The multiple-choice test will be proctored and administered on-line during a single session. Candidates invited to participate in the on-line multiple-choice test will be able to take the test as instructed from a remote location (i.e., their home) using a computer with a webcam and a reliable internet connection. Candidates will receive an e-mail from the City of Los Angeles outlining the dates and specific steps on how to take the multiple-choice test and advisory essay on-line. It is anticipated that the remote proctored multiple-choice test will be administered between MONDAY, APRIL 20, 2020 AND MONDAY, APRIL 27, 2020. Candidates who do not complete and submit the remote proctored multiple-choice test on-line using a computer by the specified date and time as instructed will not be considered further in this examination. Additional test dates may be added as needed. Additional job analysis information can be obtained by going to http://per.lacity.org/index.cfm?content=jobanalyses and clicking on Competencies under Workers' Compensation Analyst. FAQs for on-line testing are available at http://per.lacity.org/index.cfm?content=employmenttestingprocess. Candidates who do not have the required equipment may have the option to take the multiple-choice test onsite at a City facility. Passing Score for Qualifying Multiple-Choice Test The passing score for the qualifying multiple-choice test will be determined by Personnel Department staff after the qualifying multiple-choice test is administered. Consideration will be given to the number of candidates taking the test and the existing and anticipated number of vacancies, such that there are a sufficient number of eligibles on the list to satisfy current and future vacancies for the next two years. Therefore, the passing score for the qualifying multiple-choice test may be set either above or below 70%. Candidates must complete the advisory essay, achieve a passing score on the qualifying multiple-choice test, and meet minimum qualifications in order to be invited to the interview. The examination score will be based entirely on the interview. In the interview, the following competencies may be evaluated: Judgment and Decision Making, Analytical Ability, Conscientiousness, Stress Tolerance, Fact Finding, Customer Service, Oral Communication, Written Communication, Job Knowledge, including knowledge of: the California State Labor Code, as it relates to occupational injuries and workers' compensation claims; the Permanent Disability Rating System; a variety of workers' compensation information sources; the Independent Medical Review (IMR), Utilization Review (UR), and Independent Bill Review (IBR) rules, regulations, and procedures as set forth by the Department of Industrial Relations Medical Unit; utilization review processes and guidelines; principles and best practices related to early return to work programs and the evaluation of work restrictions; the principles related to agreed to medical examiners (AME)/qualified medical examiners (QME)/Panel QME processes and protocols, time frames and processing; and other necessary skills, knowledge, and abilities. Additional information can be obtained by going to http://per.lacity.org/index.cfm?content=jobanalyses and clicking on Competencies under Workers' Compensation Analyst. NOTES: * This examination is based on a validation study and as provided by Civil Service Commission Rule 4.20, the qualifying multiple-choice test will not be subject to candidate inspection. * You may take the Workers' Compensation Analyst examination only once every 24 months under this bulletin. If you have taken any test parts listed in the selection process section of this bulletin during an open filing period in the Personnel Department within the last 24 months under this bulletin, you may not file for this examination at this time. * Applications are accepted subject to review to ensure that minimum qualifications are met. Candidates may be disqualified at any time if it is determined that they do not possess the minimum qualifications stated on this bulletin. * As a covered entity under the Fair Employment and Housing Act and Title II of the Americans with Disabilities Act, the City of Los Angeles does not discriminate on the basis of disability and upon request, will provide reasonable accommodations to ensure equal access to its programs, services, and activities. To request a disability accommodation, please complete the Disability Accommodation Form within 14 calendar days of the submittal of the City application. The Disability Accommodation Form can be obtained at http://per.lacity.org/exams/verify_disability.pdf. * You must have received a regular appointment to a City position or be on a reserve list to file on a promotional basis. * The promotional list will ordinarily be used ahead of the open competitive list. However, if open competitive candidates receive a higher score, without military credits, than the highest available promotional candidate, after adding seniority credit at the rate of 0.25 of a point for each year of continuous City service, the Civil Service Commission, upon request of the appointing authority, may approve certification of such open competitive candidates ahead of the promotional candidates. * A final average score of 70% in the interview portion of the examination is required to be placed on the eligible list. * Your rank on the eligible list may change as the score of candidates from other administrations of this examination are merged onto one list. * Your name may be removed from the employment list after 24 months. Notice: If you receive and accept an offer of employment to a regular position with the City of Los Angeles, your employee benefit coverage (including health and dental coverage, as well as life insurance) will commence approximately six weeks after your original appointment. Not all positions in the City receive benefit coverage; you should inquire regarding the availability of employee benefits prior to accepting a position. All City employees are required to be Disaster Service Workers. THIS EXAMINATION IS TO BE GIVEN BOTH ON AN INTERDEPARTMENTAL PROMOTIONAL AND AN OPEN COMPETITIVE BASIS The City of Los Angeles does not discriminate on the basis of race, religion, national origin, sex, age, marital status, sexual orientation, gender identity, gender expression, disability, creed, color, ancestry, medical condition (cancer), or Acquired Immune Deficiency Syndrome. AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER For additional information and FAQs regarding the City's hiring process, please go to: http://per.lacity.org/index.cfm?content=employmenttestingprocess The City Of Los Angeles Los Angeles CA

Field Claims Specialist - CA Workers' Compensation

Great American Insurance Group