Claim Supervisor/ Claim Service Representative

Great American Insurance Group Cincinnati , OH 45201

Posted 2 months ago

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, a Fortune 500 company. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty property and casualty operations and a variety of financial services, there are always opportunities here to learn and grow.

The Alternative Markets Division of Great American Insurance is a leader in the development of long-term, profitable Captive partnerships with agents, associations, and large accounts (via group or single entity structure).

The Alternative Markets Division is currently searching for a Claim Supervisor / Service Representative with a minimum of 5 years' experience handling and managing commercial general liability claims. The person hired will serve as a liaison for service, maintenance, and account set-up related to Captive and Third Party Administrator relationships in multiple states and manage a book of complex casualty claims.

The person hired for this position will work from our downtown Cincinnati, Ohio corporate offices or, if not in the Cincinnati metro area, from our Windsor, CT office.

Responsibilities

  • Works with Claims, Third Party Administrators, Marketing, Underwriting and Loss Control on account issues.

  • Performs loss run reviews to ensure appropriate claims handling in accordance with Great American practices and state requirements. Negotiate and communicate special claim handling instructions with third party administrators.

  • Serves as point of contact for service concerns and general questions.

  • Reviews and evaluates coverage and/or liability. Collaborates and drafts Reservation of Rights, Excess and coverage letters for/with business partners.

  • Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary.

  • Ensures compliance of claims handling pursuant to all state, legal, statutory and regulatory bodies to comply with all company procedures and requirements.

  • Evaluates and makes recommendations to executive management on internal and external issues of strategic importance to a product(s) and / or line of business.

  • Participates in new prospect marketing presentations and broker/agent presentations.

  • Performs other duties as assigned.

Qualifications

  • Bachelor's degree and 5-7 or more years of commercial general liability claims handling experience. Candidates with multi-line commercial claims experience are encouraged to apply.

  • Ability to use the most effective methods of building rapport, demonstrating capability, gaining commitment and conveying ideas and information in order to develop and maintain client relationships.

  • We will rely on the person hired to frequently interact directly with agents and brokers so strong customer service skills are essential to this position.

  • Strong knowledge of policy interpretation, coverage and liability investigation and injury evaluation with the ability to draft Coverage correspondence.

  • Strong liability investigation and liability skills.

  • 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 contacts. Must be skilled at establishing and adjusting priorities as needed.

  • Strong time management skills and the ability to multi-task in a fast-paced environment.

  • Must be open to travel up to 20% of the time, including overnight travel.

  • Must have strong hands on experience with MS Office including Word, Excel and Outlook, as well as the ability to learn proprietary software.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Claim Rep Trainee Outside Property

The Travelers Companies

Posted 1 week ago

VIEW JOBS 11/9/2018 12:00:00 AM 2019-02-07T00:00 Primary Job Duties & Responsibilities Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. The on the job training includes practice and execution of the following core assignments: Handles 1st party property claims of moderate severity and complexity as assigned. Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates. Broad scale use of innovative technologies. Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate. Establishes timely and accurate claim and expense reserves. Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Negotiates and conveys claim settlements within authority limits. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. Manages file inventory to ensure timely resolution of cases. Handles files in compliance with state regulations, where applicable. Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager. Performs administrative functions such as expense accounts, time off reporting, etc. as required. Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. Must secure and maintain company credit card required. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. Perform other duties as assigned. Job Specific & Technical Skills & Competencies Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic Verbal and written communication skills -Intermediate Attention to detail ensuring accuracy - Basic Ability to work in a high volume, fast paced environment managing multiple priorities - Basic Analytical Thinking - Basic Judgment/ Decision Making - Basic Job Summary This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This job does not manage others This job works under Close Supervision: Work is reviewed at several steps along the way. (Generally pertains to trainee positions.) Education, Work Experience & Knowledge Bachelor's Degree preferred or a minimum of 2 years of work OR customer service related experience preferred. Physical Requirements Operates standard office equipment - Continuously Sitting (can stand at will) - Continuously Standing - Continuously Lifting items up to 36-50 pounds - Frequently Climbing unprotected heights (ladder, rooftop, stairs, loading dock) - Frequently Use of Keyboards, Sporadic 10-Key - Continuously Working in a confined or restricted area - Frequently Driving - Continuously This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. Minimum Qualifications High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. Valid driver's license - required. The Travelers Companies Cincinnati OH

Claim Supervisor/ Claim Service Representative

Great American Insurance Group