Senior Claims Specialist – Workers' Compensation

Great American Insurance Group

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

Posted 10/12/2026full-timeRemote • United StatesSenior💰 $105,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in managing workers' compensation claims, particularly in California and Oregon, with a strong focus on compliance with relevant laws and regulations. Proven ability to analyze claims, negotiate settlements, and maintain effective communication with stakeholders to achieve favorable outcomes.

Highest-signal resume keywords

Workers' Compensation Claims AdjustingCalifornia Workers' Compensation LawsNegotiation SkillsClaims AnalysisCommunication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ManagementCoverage EvaluationBenefits Eligibility AnalysisClaim DocumentationSettlement NegotiationClaims PracticesClaims Trends AnalysisLarge Loss ReportingLitigation Strategy CollaborationClaim Reserve Management

Soft Skills

Relationship BuildingExceptional Customer ServiceVerbal CommunicationWritten CommunicationCollaboration

Certifications & Qualifications

Associate in Claims (AIC)

Industry Keywords

California Workers' CompensationOregon Workers' CompensationComplianceHigh-Exposure ClaimsClaim Resolution

About the role

Key responsibilities & impact

Manage California and Oregon 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 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
Knowledge of Oregon workers' compensation laws and claims practices is a plus
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 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