„Great American Insurance Group“ yra Jungtinėse Amerikos Valstijose veikianti specializuota draudimo bendrovė, teikianti komercinį draudimą ir susijusias draudimo paslaugas įmonėms bei nišinėms pramonės šakoms. Jos pasiūla apima turto ir vidaus vandenų transporto draudimą, transporto draudimą, profesinės civilinės atsakomybės draudimą, prekybos kredito draudimą, kibernetinių rizikų draudimą, arklių žūties draudimą ir darbdaviams skirtus sveikatos sprendimus. Organizacija veikia per specializuotus padalinius ir tarptautinius filialus, derindama konkrečių pramonės šakų draudimo rizikos vertinimą su žalos administravimo kompetencija verslo klientams. „Great American Insurance Group“ priklauso „American Financial Group“ ir turi daugiau kaip 150 metų draudimo patirties.
Senior Workers' Compensation Claims Specialist - Great American Insurance Group (Remote)
Handle complex workers’ compensation claims in California and Oregon for Strategic Comp, a specialty insurance provider. Investigate claims, set reserves, negotiate settlements, and guide cases to resolution in a remote role.
Aprašymas
- Oversee California and Oregon workers’ compensation claims through each stage, from initial review to closure.
- Review claim details to assess coverage, compensability, and eligibility for benefits.
- Plan and carry out claim strategies aimed at prompt, favorable outcomes.
- Set and manage suitable reserves for each claim.
- Negotiate settlements and resolve claims.
- Keep claimants, insured parties, employers, and other stakeholders informed.
- Prepare and deliver large-loss reports to internal and external audiences.
- Work with defense counsel on litigation plans and claim resolution.
- Coordinate with medical case managers, surveillance providers, and other external partners.
- Follow Illinois workers’ compensation laws and regulations.
- Keep claim records complete and up to date.
- Review claim patterns and exposure to inform sound decisions.
- Deliver strong customer service and maintain effective relationships with customers and business partners.
Reikalavimai
- At least 10 years of workers’ compensation claims adjusting experience, including complex or high-exposure cases.
- California claims experience is required.
- Strong understanding of California workers’ compensation laws, regulations, and claims practices.
- Familiarity with Oregon workers’ compensation laws and claims practices is an advantage.
- Professional industry credentials, such as Associate in Claims (AIC), are preferred.
- Available to work Pacific Time Zone business hours.
- Able to travel occasionally when needed.
- Strong written and spoken communication skills.
- Able to work effectively with a range of internal and external contacts.
- Authorized to work in the United States without requiring current or future sponsorship.
Privalumai
- Medical coverage
- Dental coverage
- Vision coverage
- Wellness plans
- Parental leave
- Adoption assistance
- Tuition reimbursement
- Paid time off
- Paid holidays
- 401(k) plan with company match
- Employee stock purchase plan
- Commuter benefits