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Senior Claims Specialist - PA & DE Workers

Remote / Online - Candidates ideally in
Pennsylvania, USA
Listing for: Great American Insurance Group
Remote/Work from Home position
Listed on 2026-01-13
Job specializations:
  • Insurance
    Insurance Claims, Insurance Analyst, Risk Manager/Analyst, Underwriter
Salary/Wage Range or Industry Benchmark: 105000 USD Yearly USD 105000.00 YEAR
Job Description & How to Apply Below
Position: Senior Claims Specialist - PA & DE Workers' Compensation

Employer Industry: Insurance

Why consider this job opportunity
  • Salary up to $105,000
  • Competitive benefits package including medical, dental, and vision coverage, wellness plans, and tuition reimbursement
  • Opportunity for career advancement and growth within the organization
  • Flexible remote work arrangement with occasional travel
  • Positive work environment with high employee satisfaction rating (98%)
  • Chance to work with a dedicated team focused on delivering exceptional claims service
What to Expect (Job Responsibilities)
  • Investigate and adjust workers' compensation claims with high potential exposure
  • Analyze coverage, determine compensability, and establish reserves
  • Negotiate settlements and prepare large loss reports for internal and external audiences
  • Conduct meetings with insureds and claimants to discuss claims
  • Collaborate closely with defense attorneys and other vendors, including medical case management
What is Required (Qualifications)
  • Minimum of 10 to 13 years of workers' compensation claims adjusting experience in Pennsylvania and Delaware with higher exposure claims
  • Current license to adjust workers’ compensation claims in Delaware
  • Strong communication skills, both written and verbal
  • Ability to work effectively with a variety of internal and external contacts
  • Industry designations such as Associate in Claims are a plus
How to Stand Out (Preferred Qualifications)
  • Experience with claims adjusting in a high-exposure environment
  • Additional industry certifications or designations
  • Familiarity with state-specific workers' compensation laws
  • Proven track record of successful claims negotiation and resolution
  • Strong analytical skills to assess complex claims situations
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Position Requirements
10+ Years work experience
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