Senior Claims Specialist – Workers' Compensation

Great American Insurance Group

. Manage California workers' compensation claims from inception through resolution .

Posted 10/16/2026full-timeRemote • California • United StatesSenior💰 $105,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in managing California workers' compensation claims, including analyzing claim facts, negotiating settlements, and ensuring compliance with relevant laws and regulations. Strong communication and relationship-building skills are essential for collaborating with various stakeholders and providing exceptional service.

Highest-signal resume keywords

Workers' Compensation Claims AdjustingCalifornia Workers' Compensation LawsNegotiation SkillsClaim DocumentationCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AnalysisCoverage EvaluationBenefits Eligibility AssessmentClaim Reserve ManagementSettlement NegotiationLarge Loss ReportingTrend AnalysisDecision-Making Support

Soft Skills

Relationship BuildingVerbal CommunicationWritten Communication

Certifications & Qualifications

Associate in Claims (AIC)

Industry Keywords

California Workers' CompensationComplianceHigh-Exposure ClaimsLitigation StrategyMedical Case Management

About the role

Key responsibilities & impact

Manage California 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 California 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 workers' compensation claims adjusting experience, including complex or high-exposure claims
California experience required
Strong knowledge of California workers' compensation laws, regulations, and claims practices
Professional industry designations such as Associate in Claims (AIC) are preferred
Ability to work Pacific Time Zone business hours
Ability to travel occasionally as needed
Strong written and verbal communication skills
Ability to work with a variety of internal and external contacts
Must be authorized to work in the United States without current or future employment visa 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