Senior Claims Specialist – Workers Compensation

Great American Insurance Group

. Manage Pennsylvania and Delaware workers' compensation claims from inception through resolution .

Posted 10/9/2026full-timeRemote • Pennsylvania • United StatesSenior💰 $95,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in managing Pennsylvania and Delaware workers' compensation claims, including complex claims, while ensuring compliance with relevant laws and regulations. Strong negotiation and communication skills are essential for effective collaboration with stakeholders and achieving favorable claim outcomes.

Highest-signal resume keywords

Workers' Compensation Claims ManagementPennsylvania Workers' Compensation LawsDelaware Workers' Compensation LawsNegotiation SkillsClaims Documentation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjustingClaims AnalysisCoverage EvaluationBenefits Eligibility AssessmentClaims Strategy DevelopmentSettlement NegotiationClaims Reserve ManagementTrend AnalysisLarge Loss ReportingLitigation Strategy Collaboration

Soft Skills

Excellent Communication SkillsRelationship BuildingCustomer Service

Certifications & Qualifications

Associate in Claims (AIC)Delaware Workers’ Compensation License

Industry Keywords

Workers' CompensationClaims PracticesComplianceHigh-Exposure ClaimsStakeholder Communication

About the role

Key responsibilities & impact

Manage Pennsylvania and Delaware workers' compensation claims from inception through resolution
Analyze claim facts and evaluate coverage, compensability, and benefits eligibility
Develop and execute strategies to achieve timely and favorable claim outcomes
Establish and maintain appropriate claim reserves
Negotiate settlements and bring about claim resolution
Communicate regularly with claimants, insureds, employers, and other stakeholders
Prepare and present large loss reports to internal and external audiences
Collaborate with defense counsel on litigation strategy and claim resolution
Partner with medical case managers, surveillance vendors, and other external resources
Ensure compliance with Illinois workers' compensation laws and regulations
Maintain accurate and timely claim documentation
Analyze claim trends and exposure to support effective decision-making
Provide exceptional service while building strong relationships with customers and business partners

Requirements

What you’ll need

10+ years of Pennsylvania and Delaware workers' compensation claims adjusting experience, including complex or high-exposure claims
Strong knowledge of Pennsylvania and Delaware workers' compensation laws, regulations, and claims practices
Professional industry designations such as Associate in Claims (AIC) are preferred
Ability to work Eastern Time Zone business hours and travel occasionally as needed
Excellent written and verbal communication skills
Ability to work with a variety of internal and external contacts
Delaware workers’ compensation license is required
Additional state licenses are a plus
Applicants must be authorized to work in the United States without the need for current or future sponsorship

Benefits

Comp & perks

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