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Workers Comp Claims Specialist -CA Remote

Company:
Gaig
Location:
North Los Altos, CA, 94022
Posted:
April 17, 2024
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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!

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

Prefer CA claims handling experience

Prefer CA certification

Education: Bachelor’s Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: Generally, 6 to 10 years of related experience.

Company:NIC National Interstate Corporation

Salary Range:$85,000.00 -$95,000.00

Benefits:

We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.

R5795

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