What are the responsibilities and job description for the Claims Specialist- Workers' Compensation position at Republic Indemnity?
Join our team in Northern California at Republic Indemnity!
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.
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 exciting opportunities with us : the role of Claims Specialist
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.
Qualifications :
