Republic Indemnity is looking for a Claims Specialist to join their team in San Diego! The ideal candidate would have experience with workers compensation claims and be bilingual (Spanish). This role would require the candidate to work one day a week in our San Diego office.
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.
Job Requirements
Education: Bachelor's Degree or equivalent experience.
Field of Study: Liberal Arts, Business or a related discipline.
Experience: Generally, 6 to 10 years of related experience.