Senior Casualty Claims Specialist - Specialty Human Services

Great American Insurance Group

$100K — $137K *
US-AnywhereRemote in United States
Finance & Insurance
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or related field or equivalent experience.
  • 8+ years in property and casualty claims handling, preferably including casualty.
  • Experience with abuse & fatality claims preferred but not required.
  • Commercial lines claims handling experience preferred.
  • Active adjuster’s license in CT, FL, KY, NC, NM, SC, or TX preferred.
  • Strong analytical, negotiation, and problem-solving skills with knowledge of insurance policies.

Responsibilities

  • Manage a large inventory of claims to evaluate compensability/liability.
  • Plan and conduct claim investigations to confirm coverage and determine liability.
  • Determine and negotiate appropriate claim settlements and reserves.
  • Convey complex information regarding coverage and settlements to various parties.
  • Authorize payments within assigned authority and ensure timely payments.
  • Maintain accurate and detailed claim files including correspondence and reports.
  • Perform other duties as assigned.

Benefits

  • Medical, dental, and vision coverage for full-time employees.
  • Access to wellness plans, parental leave, and adoption assistance.
  • Tuition reimbursement available for continued education.
  • Paid Time Off, paid holidays, and 401(k) plan with company match.
  • Employee stock purchase plan and commuter benefits offered.
Full Job Description

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.

Specialty Human Services - Great American Insurance Group

The Specialty Human Services Division is currently looking for a Senior Casualty Claims Specialist. This position is fully remote with some expectations of travel.

Essential Job Functions and Responsibilities

  • Manages a large inventory of claims to evaluate compensability/liability, including pre-litigation and litigation claims.

  • 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, 8 or more years of experience in property and casualty claims handling, casualty preferred. Experience handling abuse & fatality claims is highly preferred but not required. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

  • Commercial lines claims handling experience is preferred, but not required.

  • Holds an active adjuster’s license, ideally in the following states: CT, FL, KY, NC, NM, SC, and TX. This is preferred and not required.

  • 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:

$100,000.00 -$137,000.00

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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