Claims Specialist - Professional Liability

GAIC Great American Insurance Company; Pennsylvania; Hybrid; USD 90,000 - 135,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Wellness plans

401(k) plan with company match

Paid time off and paid holidays

Job summary

Great American Insurance Group is seeking a Financial Products Claims Specialist for its Professional Liability Division. The role focuses on investigation, evaluation, and adjustment of claims across Design Professionals, Real Estate, Small Accountants, and Medical Professional Liability.

The ideal candidate can work fully remotely and should be located on the East Coast. The position requires 2–5 years of related experience, a Bachelor’s degree (or equivalent) and strong communication skills,

Qualifications

• 2–5 years of related professional liability claims experience.
• Bachelor’s Degree or equivalent experience or may possess LLM (Master of Law) or JD with 2–5 years post-bar experience.
• Strong written and verbal communication skills across all levels of an organization.

Responsibilities

• Investigates, evaluates, and adjusts Design Professional, Real Estate, Small Accountants, and Health Care Professional claims.
• Reviews and evaluates coverage and/or liability.
• Draft coverage position letters.
• Retains and directs approved consultants and outside counsel.
• Responsible for maintaining cost controls and overseeing the work of outside counsel.
• Prepares periodic claims reports and financial evaluations.
• Set reserves within prescribed limits and submit recommendations for reserves outside authority.
• Ensures timely and accurate claims payments.

Skills

Communication skills

Verbal and written communication

Education

Bachelor’s degree or equivalent experience or LLM/JD

Tools

MS Word

Excel

PowerPoint

Job description

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. We combine a \"small company\" culture where your ideas will be heard with \"big company\" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

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.

Great American’s Professional Liability Division offers medical and non-medical service providers protection from claims alleging an act, error or omission by the firm, its staff or contractors working on its behalf. The Division recognizes every industry has its own unique needs and develops customized coverage solutions for specific professional liability exposures. https://www.greatamericaninsurancegroup.com/about-us/businessoperations/division/professional-liability

The Professional Liability Division is looking for a Financial Products Claims Specialist. This individual will work on a variety of claims including Design Professionals, Real Estate, Small Accountants and Medical Professional Liability. The ideal candidate would work fully remotely and be located on the East Coast.

Essential Job Functions and Responsibilities

• Investigates, evaluates, and adjusts Design Professional, Real Estate, Small Accountants, and Health Care Professional claims.
• Reviews and evaluates coverage and/or liability.
• Draft coverage position letters.
• Retains and directs approved consultants and outside counsel.
• Responsible for maintaining cost controls and overseeing the work of outside counsel.
• Prepares periodic claims reports and financial evaluations.
• Set reserves within prescribed limits and submit written recommendations for reserves outside authority.
• Ensures that claims payments are issued in a timely and accurate manner.
• Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
• As directed, may assist Underwriting, Marketing, Risk Management, and Loss Prevention with projects, including evaluating potential new business.
• 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.

Qualifications

• Generally, 2 to 5 years of related experience.
• Bachelor’s Degree or equivalent experience or may possess LLM (Master of Law) or JD (Juris Doctorate) and current attorney license with 2 to 5 years of post-bar experience.
• Works on moderate to highly complex assignments requiring knowledge in breadth and / or depth within Professional Liability claims, including but not limited to Design Professionals, Real Estate Professionals, Accountants, and Health Care Professionals.
• Must be a highly effective communicator, both verbally and in writing.
• Able to communicate effectively with people at all levels from across the organization and with external customers and prospects.
• Extensive use of computers and software programs, including MS Word, Excel, PowerPoint, as well as the ability to learn third-party and proprietary software as required.

Business Unit: Professional Liability

Salary Range: $90,000.00 -$135,000.00

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.

*Excludes seasonal employees and interns.

Great American Insurance Group understands the importance of choosing a financially strong company. We are an organization built for the long term and are committed to giving you that strength.

Why can you trust Great American Insurance Group?

For nearly 150 years, Americans have trusted us to protect them. Our innovative insurance solutions and specialization serves niche marketplaces that we know well. This expertise gives us a successful foundation that spans generations.

You never know where a career in insurance will take you. Whether you are starting your career or are looking for a company to grow your experience, at Great American Insurance Group, you can join our more than 8,500 employees to \"Be Here. Be GREAT!\" To learn more, visit our Career Page