Senior Claims Representative/Claims Representative

United States·Cincinnatisenior

Other

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Quick Summary

Overview

Be Here. Be Great. 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.

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Responsibilities

~1 min read

→Investigate and manage bodily injury claims from initial assignment through resolution.
→Gather, analyze, and evaluate claim information, including medical records, accident reports, statements, and policy documentation.
→Assess liability, injury severity, medical treatment, disability exposure, and overall claim value.
→Develop and execute claim strategies that drive timely and appropriate claim resolution.
→Establish and adjust claim reserves based on evolving claim exposure and available information.
→Maintain regular communication with claimants, attorneys, medical providers, policyholders, and other involved parties.
→Identify coverage issues, inconsistencies, and additional investigation needs to support sound claim decisions.
→Make timely claim determinations within authority levels and escalate complex matters as appropriate.
→Negotiate settlements and issue claim payments accurately and in accordance with company guidelines.
→Manage a high-volume inventory of approximately 80-90 claims, including 1-3 new claims daily, while prioritizing competing responsibilities.
→Maintain thorough claim documentation and ensure compliance with applicable laws, regulations, and company policies.
→Collaborate with team members, leadership, and business partners to support claim outcomes and customer service goals

Requirements

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Generally, 2-5 years of claims handling experience, with bodily injury or injury-related claims experience preferred.
Experience independently investigating, evaluating, and resolving claims.
Knowledge of bodily injury claim handling, medical terminology, treatment, and disability-related exposures.
Strong analytical, investigative, and decision-making skills.
Ability to manage a high-volume caseload and prioritize competing responsibilities effectively.
Excellent written and verbal communication skills with a customer-focused approach.
Strong organization, attention to detail, and ability to work independently in a fast-paced environment.

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What We Offer

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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.