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.
  • 3-6 years of experience in handling property and casualty claims.
  • Progress towards or completion of professional designations like Associate in Claims (AIC) is preferred.
  • Strong analytical, negotiation, and problem-solving skills.
  • Proficient knowledge of insurance policies and claims procedures.
  • Ability to organize and prioritize caseloads effectively.
  • Strong interpersonal and communication skills.

Responsibilities

  • Manage a large inventory of claims to evaluate compensability and liability.
  • Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages.
  • Determine and negotiate claim settlements and reserves within authority limits.
  • Convey complex information about coverage and settlements to insureds and external partners.
  • Authorize payments in accordance with assigned limits and ensure timely payments.
  • Maintain accurate and detailed claim files, including all correspondence and agreements.
  • Perform other assigned duties as needed.

Benefits

  • Medical, dental, and vision coverage.
  • Wellness plans and parental leave.
  • Adoption assistance and tuition reimbursement.
  • Paid Time Off and paid holidays.
  • 401(k) plan with company match and 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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