Workers' Compensation Claims Specialist – Alternative Markets

Great American Insurance Group

. Manage a large inventory of claims, including medical only, indemnity, and potential CAT .

Posted 11/12/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $87,120 - $117,480 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex claims investigations, analyzing and negotiating settlements, and ensuring compliance with state laws. Proven ability to lead teams, maintain detailed claim files, and handle confidential information with discretion.

Highest-signal resume keywords

Workers Compensation Claims HandlingClaims InvestigationNegotiation SkillsInsurance Policies KnowledgeBachelor's Degree in Business Administration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ManagementClaims AnalysisSettlement NegotiationRegulatory ComplianceClaims Handling Procedures

Soft Skills

Analytical SkillsInterpersonal SkillsCommunication SkillsProblem-Solving SkillsLeadership Skills

Certifications & Qualifications

Associate in Claims (AIC)

Industry Keywords

InsuranceRisk ManagementClaims SettlementConfidential Information HandlingTalent Development

About the role

Key responsibilities & impact

Manage a large inventory of claims, including medical only, indemnity, and potential CAT
Plan and conduct complex claims investigations to confirm coverage, causal relationship, and benefits compliance with state laws
Analyze and negotiate appropriate claim settlements and reserves within prescribed authority
Attend arbitrations, mediations, depositions, or trials as needed
Authorize payments within assigned authority limits and ensure timely payment
Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
Potentially oversee performance and coaching of staff
Participate in talent selection, development, and performance management decisions for direct reports
Perform other assigned duties

Requirements

What you’ll need

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, 5 or more years of experience in workers compensation claims handling
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
Specialized knowledge of insurance policies, coverage, and claims handling procedures
Knowledge of industry laws and regulations
Advanced ability to organize and prioritize caseloads
Excellent analytical, negotiation, and problem-solving skills
Excellent interpersonal and communication skills
Ability to build relationships and lead negotiations
Proven ability to handle confidential information with discretion
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