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Senior Claims Representative / Claims Specialist-Specialty Human Services Division

Senior Claims Representative / Claims Specialist-Specialty Human Services Division

Great American Insurance GroupCincinnati, OH, US
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Casualty Claims Specialist / Sr. Claims Specialist

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.

The Specialty Human Services Division (SHS) is proud to serve the Human and Social Services sector for more than 40 years. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations. SHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country.

SHS is currently looking for a Casualty Claims Specialist / Sr. Claims Specialist in our downtown Cincinnati office. The job grade and title will depend on the successful applicant's level of experience. This will be a hybrid position consisting of 3 days in-office and 2 days work from home.

Essential Job Functions and Responsibilities

  • Manages a large inventory of claims to evaluate compensability / liability.
  • Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
  • Determines and negotiates appropriate claim settlements / reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • Performs other duties as assigned.

Job Requirements

  • Education : Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
  • Experience : Generally, a minimum of 5-7 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).
  • Scope of Job / Qualifications : Works within significant limits and authority on assignments of higher technical complexity and coordination. Demonstrates strong analytical, negotiation, and problem-solving skills. Demonstrates knowledge of insurance policies, coverage, and claims handling procedures. Maintains knowledge of industry laws and regulations. Demonstrates 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.
  • This job is non-exempt in California and Washington.

    Business Unit : Specialty Human Services

    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.

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    Claim • Cincinnati, OH, US

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