Claims Specialist

4 hours ago


San Francisco, California, United States Republic Indemnity Full time
Job Title: Claims Specialist - Workers' Compensation Expert

At Republic Indemnity, we're dedicated to helping businesses in the western U.S. manage their Workers' Compensation costs. Our team is passionate about creating a clear path forward for our clients, and we're looking for a skilled Claims Specialist to join us.

This role is based in our San Francisco office, with a hybrid schedule that includes a minimum of one day in the office per week. As a Claims Specialist, you'll be responsible for investigating and maintaining claims, reviewing coverage and liability, and securing necessary information to resolve claims files.

Key Responsibilities:

  • Investigate and maintain claims files
  • Review and evaluate coverage and liability
  • Secure and analyze necessary information to resolve claims
  • Work towards the resolution of claims files, attending arbitrations, mediations, depositions, or trials as necessary
  • Affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority
  • Communicate complex information to all appropriate parties, maintaining a professional demeanor
  • Ensure timely and accurate claims payments
  • Ensure compliance with applicable statutes, regulations, and company procedures
  • Provide technical advice to lower-level positions and other functional areas
  • May have responsibility for performance and coaching of staff, as well as a participatory role in decisions regarding talent selection, development, and performance management

Qualifications:

  • Bachelor's Degree or equivalent experience
  • Generally, 6-10 years of experience handling California workers' comp claims
  • Must be detail-oriented with strong organizational skills


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