Workers Comp CA Senior Claims Specialist- Remote-
Core
Manages a large inventory of highly complex workers' compensation claims, evaluating compensability/liability, orchestrating investigations, and negotiating settlements.
Role type
Senior IC workers' compensation claims specialist
Builds
Claim resolutions and settlements for commercial transportation industry clients
Domain
Insurance / Workers' Compensation
Deliverable
client delivery
Required skills
Complex claims evaluation, liability determination, settlement negotiation, reserve analysis, arbitration/mediation/trial participation, payment authorization, regulatory compliance, case prioritization
Preferred skills
Associate in Claims (AIC) designation, California workers' comp experience, subject matter expertise
Technologies
None stated
Responsibilities
Evaluate compensability and liability for complex claims; orchestrate comprehensive claims investigations; analyze and negotiate claim settlements and reserves; convey complex coverage information to insureds and claimants; authorize payments within authority limits; maintain accurate claim files; coach staff and participate in talent decisions
Seniority
Senior, hands-on IC with potential management responsibilities
