Workers' Compensation Claims Specialist - Republic Indemnity

Investigates and maintains claims:

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  Reviews and evaluates coverage and/or liability.

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  Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.

Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary.

May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.

Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.

Ensures that claims payments are issued in a timely and accurate manner.

Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.

Provides technical advice to lower level positions and other functional areas.

May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.

Performs other duties as assigned.

Education: Bachelor’s Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: Generally, 6 to 10 years of experience handling California Workers' Compensation Claims.

Scope of Job: Works within broad limits on highly complex assignments requiring specialized knowledge in breadth and/or depth within area of expertise. Viewed as a senior resource for the Claims department and/or organization. Next step in a traditional career progression may be a management role. May be a team leader. Performs work under limited supervision.