Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services

Great American Insurance Group

$80K — $120K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Business Administration, Risk Management and Insurance, Political Science, Pre-law, Paralegal, or related field, or equivalent experience
  • 3-6 years of experience in property and casualty claims handling
  • Completion or progress toward professional designations like Associate in Claims (AIC) preferred
  • Strong analytical, negotiation, and problem-solving skills
  • Knowledge of insurance policies, coverage, and claims handling procedures
  • Ability to organize and prioritize claims caseloads effectively
  • Excellent interpersonal and communication skills

Responsibilities

  • Manage a large inventory of claims to evaluate liability and compensability
  • Plan and conduct claim investigations to confirm coverage and determine liability
  • Determine and negotiate claim settlements/reserves within authority limits
  • Convey complex information regarding coverage and settlements to stakeholders
  • Authorize timely payments in accordance with assigned limits
  • Maintain accurate and detailed claim files and documentation
  • Perform other assigned duties as needed

Benefits

  • Access to medical, dental, and vision coverage
  • Wellness plans including parental leave and adoption assistance
  • Tuition reimbursement for career development
  • Paid Time Off and paid holidays
  • 401(k) plan with company match
  • Employee stock purchase plan
  • Commuter benefits
Full Job Description

This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.

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 Claim Professional. The jobgrade and title will depend on the successful applicants level of experience. Great Americans culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on-site four days a week, with the flexibility to work one day remotely.

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: Bachelors Degree in Business Administration, Risk Management and Insurance, Political Science, Pre-law, Paralegal or a related field or equivalent experience.

  • Experience: Generally, a minimum of 3-6 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.

Business Unit:

Specialty Human Services


Salary Range:

$80,000.00 -$120,000.00

Benefits:

We offer competitive benefits packages for full-time and part-time employees*. Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and tuition reimbursement. Full-time and eligible part-time employees also enjoy Paid Time Off and paid holidays, a 401(k) plan with company match, an employee stock purchase plan, and commuter benefits.

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process. Learn more at http://www.gaig.com/careers.

 

*Excludes seasonal employees and interns.

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