Claims Specialist- Workers' Compensation at Republic Indemnity in San Francisco, California

Posted in Other about 2 hours ago.

Type: full-time





Job Description:

At Republic Indemnity, we've been helping businesses in the western U.S. manage their Workers' Compensation costs for over 50 years. Headquartered in Calabasas, California with additional offices in San Francisco and San Diego, we write workers compensation primarily in CA with significant business in AK, AZ, NV, and other western states. Whether it's helping a broker, policyholder, injured worker, or a colleague, Republic is all about creating a clear way forward so people can reach their goals. If you share that vision, we'd love to talk with you about our exiting opportunity for Workers' Compensation Claims Specialist.

This position is based in our San Francisco office with a hybrid schedule of a minimum 1 day in the office per week.

Essential Job Functions and Responsibilities:

  • Investigates and maintains claims.
  • Reviews and evaluates coverage and/or liability.
  • 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.

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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