Senior Claims Specialist, Remote - CA Workers

Senior Claims Specialist

Investigating and adjusting workers’ compensation claims with high potential exposure in the Pacific Time Zone. Duties include investigating losses, analyzing coverage and benefits, establishing reserves, negotiating settlements, conducting phone meetings with insureds and claimants, preparing large loss reports for internal and external audiences, attending settlement conferences, and collaborating closely with defense attorneys and other vendors including medical case management and surveillance.

The role requires working from a home office with occasional travel for claims reviews and meetings in the Pacific Region.

• Investigating losses
• Analyzing coverage, determining compensability and benefits
• Establishing reserves and negotiating settlements
• Conducting meetings on the phone with insureds and claimants
• Preparing large loss reports to both internal and external audiences
• Attending settlement conferences as assigned
• Working closely with defense attorneys and other vendors, including medical case management, surveillance, etc.

• Prolonged sitting and continuous use of computer (sedentary)
• Occasional travel, possibly overnight, to tri-annual claim reviews and departmental meetings

• Typically 10+ years of experience, will consider exceptional candidates with 7+ years of proven success in California workers’ compensation claims adjusting experience with higher exposure claims
• Current license to adjust workers’ compensation claims in California is required
• Ability to work Pacific Time Zone business hours is required
• Strong consideration for industry designations including Associate in Claims
• Excellent written and verbal communication skills, able to work with a variety of internal and external contacts

Strategic Comp

$ – $

Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. All eligible employees enjoy Paid Time Off, paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits. Excludes seasonal employees and interns.