Worker's compensation claims examiner part time jobs

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Alternative Markets specialize in primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs. ***************************************************************************************************** Our Alternative Markets Division is looking for a Claims Specialist/Senior Claims Specialist. The ideal candidate would be available to work a hybrid schedule out of our Cincinnati, OH or Windsor, CT office. Job title and salary will be dependent upon successful applicant's level of experience. Essential Job Functions and Responsibilities Manages an inventory of medical only and lost time claims. Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages. Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials. Conveys information regarding coverage and settlements to insureds, claimants, and external partners. Authorizes payments in accordance with assigned authority limits and ensures payments are made in a timely manner. Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements. Responsible for compliance with all state reporting requirements. Follows all necessary medical treatment guidelines, including but not limited to utilization of vendors to ensure proper treatment and care. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree recommended but not required. Equivalent experience in Risk Management and Insurance, or a related field preferred. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC), CPCU but this is not required. Experience: Generally, 5+ years of experience in worker's compensation claims handling. Active adjuster licensing is needed. California claim handling preferred but not a requirement. Scope of Job/Qualifications: Works within broad limits and authority on assignments of variety of claims. Demonstrates excellent analytical, communication, negotiation, and problem-solving skills. Maintains strong knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Advanced ability to organize and prioritize caseloads, ensuring timely resolution of claims. Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations. Proven ability to handle confidential information with discretion. Business Unit: Alternative Markets Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. * -------------------------------------------- When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey, clearly indicating the passion and energy our staff has for our company and for the job they do! Currently we have an opening for a Senior Claims Specialist in your territory. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you. Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG". Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning they enjoy working with us too! Here's what you would be doing if hired for the Senior Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with high potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home in Oregon with occasional travel to claims reviews and meetings. Responsibilities * 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. Physical Requirements * Sedentary - requires prolonged sitting, continuous use of computer * Occasional Travel - may require overnight travel to tri-annual claim reviews and/or departmental meetings Qualifications * A minimum of 10 to 13 years of Oregon and California workers' compensation claims adjusting experience with higher exposure claims is required * Must have current license to adjust workers' compensation claims in California * Strong consideration will be given to candidates with industry designations including Associate in Claims * You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts #LI-StrategicComp Business Unit: Strategic Comp Salary Range: $105,000.00 -$115,000.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.