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Workers Comp Claims Specialist - Remote

Key Facts

Remote From: 
Full time
Senior (5-10 years)
English

Other Skills

  • Team Performance Management
  • Communication
  • Relationship Building
  • Analytical Thinking
  • Social Skills
  • Problem Solving

Roles & Responsibilities

  • Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field, or equivalent experience.
  • Minimum of 9 years of experience in property and casualty claims handling.
  • Completion of or continuing progress toward a professional designation (e.g., Associate in Claims - AIC) is preferred.
  • Experience handling claims in NJ, PA, MA, MO, IL, IA, and WI.

Requirements:

  • Manages a large inventory of complex claims to evaluate compensability and liability.
  • Plans and conducts complex claims investigations to confirm coverage and determine liability, compensability, and damages.
  • Analyzes and negotiates settlements and reserves within prescribed authority; may attend arbitrations, mediations, depositions, or trials.
  • Authorizes payments within assigned authority and maintains accurate, detailed claim files, communicating coverage and settlements to insureds, claimants, and external partners.

Job description

National Interstate is a member of Great American Insurance Group. As one of the leading commercial transportation insurers in the nation, we offer risk financing solutions in all 50 states tailored to meet the needs of a wide variety of transportation classes. Our offerings include traditional insurance and innovative alternative risk transfer (ART) programs, including more than a dozen group captive programs catering to niche wheels markets. We are proud to be a multiple Northcoast 99 winner and Cleveland Plain Dealer Top Workplace in Northeast Ohio. It is because of our talented and dedicated team that we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you!

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

Essential Job Functions and Responsibilities

  • Manages a large inventory of complex claims to evaluate compensability/liability.
  • Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages.
  • Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • 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 in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.

Experience: Generally, a minimum of 9 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

PREFER NJ PA MA or MO IL IA WI STATE HANDLING EXPERIENCE

Scope of Job/Qualifications: Works within broad limits and authority on assignments of the highest technical complexity, requiring specialized knowledge. Demonstrates excellent analytical, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims.  Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Viewed as a senior resource within the Claims department and/or organization.

Company:

NIIC National Interstate Insurance Company


Salary Range:

$80,000.00 -$95,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

 

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

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