Senior Claims Representative/Claims Representative

Summit Consulting

Cincinnati (OH)

Sur place

USD 60 000 - 90 000

Plein temps

Il y a 3 jours
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Avantages offerts par ce poste

Medical, dental, vision coverage
401(k) with match
Paid time off and holidays
Wellness programs

Résumé du poste

Great American Insurance Group is seeking a Senior Claims Representative/Claims Representative in Cincinnati, OH. The role focuses on independently managing injury-related claims for commercial transportation, gig economy and independent contractor scenarios, with a strong emphasis on timely resolution and effective strategy.

On-site four days a week with one remote day, core days Tue-Thu. We value diverse backgrounds and provide comprehensive benefits.

Qualifications

  • 2-5 years claims handling experience, bodily injury or injury-related claims preferred.
  • Independent investigation, evaluation, and resolution of claims.
  • Strong analytical, investigative, and decision-making skills.
  • Excellent written and verbal communication with a customer-focused approach.

Responsabilités

  • Investigate and manage bodily injury claims from assignment to resolution.
  • Gather and evaluate medical records, accident reports, statements, and policy documents.
  • Assess liability, injury severity, treatment, disability exposure, and claim value.
  • Develop and execute claim strategies for timely resolutions and appropriate reserves.
  • Negotiate settlements and issue payments per guidelines.

Connaissances

Bodily injury claims
High-volume caseload
Analytical skills
Communication skills
Independent work

Description du poste

## Senior Claims Representative/Claims RepresentativeApply: Hybrid: Cincinnati, OH (USA): Full time: Posted Today: R9672**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.## Division Overview The Trucking Division specializes in providing insurance solutions for the commercial transportation industry, serving a broad range of businesses and independent contractors operating in today's evolving marketplace. The division supports traditional trucking operations as well as on-demand and gig economy delivery services, helping clients manage risk and navigate complex claims situations. Through specialized underwriting, claims expertise, and customer-focused service, the team plays a critical role in delivering responsive solutions and protecting the interests of policyholders and injured parties alike. ## Position Overview The Senior Claims Representative/Claims Representative is responsible for independently managing a caseload of injury-related claims from initial assignment through resolution. This role investigates and evaluates bodily injury claims involving commercial transportation, independent contractors, and gig economy delivery workers, while developing effective claim strategies and driving timely resolutions. The position requires strong analytical, organizational, and communication skills, as well as the ability to manage a high-volume inventory of complex, high-touch claims.Great American’s culture is built on connection, shared learning, and strong relationships. To support this, employees in this role are expected to be on‐site four days a week, with the flexibility to work one day remotely. Core in‐office days are Tuesday–Thursday, with the fourth day determined by business needs. **Responsibilities** * 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 **Qualifications** * 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.**Business Unit:**Trucking**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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