Claim Specialist - Workers' Compensation

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group’s member companies are subsidiaries of American Financial Group, a Fortune 500 company. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty property and casualty operations and a variety of financial services, there are always opportunities here to learn and grow.

Republic Indemnity is a subsidiary of Great American Insurance Group - we market workers’ compensation insurance to a variety of clients primarily in California, as well as other states.  This position is located in our Encino, CA office, soon to be moving to beautiful Calabasas, CA.  We are looking for a service-oriented Claim Specialist with a minimum of 6 years experience handling California workers' compensation claims. Strong organization and communication skills are required.  Bilingual (English/Spanish) is a plus.

• 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, dispositions 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 lead the work of others (mentors, prioritizes, delegates and reviews assignments).
• Performs other duties as assigned.

Education: Bachelor’s Degree or equivalent experience.
Field of Study: Liberal Arts, Business or a related discipline.
Experience: 6 or more years of related experience.