Claims Specialist/Senior Claims Specialist-Alternative Markets

Great American Insurance Group; Florida; Presencial; USD 85 000 - 106 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental insurance

Vision insurance

Paid time off

401(k) match

Employee stock purchase plan

Commuter benefits

Resumo da oferta

Great American Insurance Group, a leader in the insurance industry, is seeking a Claims Specialist/Senior Claims Specialist for its Alternative Markets unit in Florida. The role focuses on investigative claims, reserving, settlements, and ensuring compliance with laws and company policies.

Ideal candidates have a Bachelor’s degree and 9+ years of related experience; New York Labor claims experience is strongly preferred.

Qualificações

• Bachelor’s degree or equivalent experience.
• 9+ years of related experience; New York Labor claims experience preferred.

Responsabilidades

• Investigates and maintains claims, reviews coverage and liability.
• Establishes reserves and negotiates settlements within limits.
• Communicates complex information to parties professionally.
• Ensures timely, accurate claims payments and regulatory compliance.
• May mentor staff and participate in talent decisions.

Conhecimentos

Claims investigation

Reserves and settlements

Regulatory compliance

Mentoring

Formação académica

Bachelor's Degree

Descrição da oferta de emprego

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.
Alternative Markets specialized in mono-line and/or multi-line primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives). Alternative Markets focuses on niche programs.
https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets
Alternative Markets is looking for a Claims Specialist/Senior Claims Specialist to join their team. Job title and salary will be dependent upon successful applicant's level of experience.

Essential Job Functions And Responsibilities

• Investigates and maintains claims:
• 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.
• Establish reserves and negation settlements within prescribed limits. Submit 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.

Job Requirements

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

Business Unit

Alternative Markets

Salary Range

$85,000.00 -$106,000.00

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.