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Workers' Comp Claims Specialist

Great American Insurance Company
San Francisco, CA Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 4/16/2025

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.

At Republic Indemnity , we've been helping businesses in the western U.S. manage their Workers' Compensation costs for over 50 years. Headquartered in Calabasas, California with additional offices in San Francisco and San Diego, we write workers compensation primarily in CA with significant business in AK, AZ, NV, and other western states. Whether it's helping a broker, policyholder, injured worker, or a colleague, Republic is all about creating a clear way forward so people can reach their goals. If you share that vision, we'd love to talk with you about our exiting opportunity for Workers' Compensation Claims Specialist.

This position is based in our San Francisco office with a hybrid schedule of a minimum 1 day in the office per week.

Essential Job Functions and Responsibilities

  • Investigates and maintains claims :

Reviews and evaluates coverage and / or liability.

  • Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
  • Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary.
  • May affect settlements / reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
  • Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
  • Ensures that claims payments are issued in a timely and accurate manner.
  • Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
  • Provides technical advice to lower level positions and other functional areas.
  • 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.
  • 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 :

    95,000.00 -$112,500.00

    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.

    Salary : $95,000 - $112,500

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