Claims Specialist/Senior Claims Specialist-Alternative Markets

Great American Insurance GroupVA Work at Home, TN
$85,000 - $106,000Onsite

About The Position

Great American Insurance Group's Alternative Markets division is seeking a Claims Specialist/Senior Claims Specialist to join their team. This role focuses on niche programs within mono-line and/or multi-line primary programs, operating on a traditional guaranteed cost or risk-sharing basis. The company fosters a culture that values diverse backgrounds and experiences, aiming for an inclusive and empowering workplace. This position is not eligible for employment visa sponsorship, and applicants must be authorized to work in the United States without future sponsorship. The specific job title and salary will be determined by the applicant's experience level.

Requirements

  • Bachelor’s Degree or equivalent experience.
  • Field of Study: Liberal Arts, Business or a related discipline.
  • Generally, 9 or more years of related experience.
  • New York Labor claims experience strongly preferred.

Responsibilities

  • Reviews and evaluates coverage and/or liability to include tenders.
  • Secures and analyzes necessary information (i.e., reports, policies, contracts, releases, statements, or other documents) in the investigation of claims.
  • Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary.
  • Establishes reserves and negotiates settlements within prescribed limits. Submits recommendations to supervisor when they exceed personal authority.
  • Conveys more complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
  • Ensures that claims payments are issued in a timely and accurate manner.
  • Ensures that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
  • Provides technical advice to lower level positions and other functional areas.
  • May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
  • Performs other duties as assigned.

Benefits

  • medical coverage
  • dental coverage
  • vision coverage
  • wellness plans
  • parental leave
  • adoption assistance
  • tuition reimbursement
  • Paid Time Off
  • paid holidays
  • 401(k) plan with company match
  • employee stock purchase plan
  • commuter benefits
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