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Claims Representative
2 months ago
Are you a problem-solver with a passion for helping others? Do you thrive in fast-paced environments where every day brings a new challenge? Join Great American Insurance Group as a Claims Representative/Senior Claims Representative, where you'll be at the forefront of delivering exceptional customer service and making a real impact in our customers' lives. If you're ready to take your career to the next level, we want to hear from you
Claims Resolution Services is searching for a candidate with prior insurance experience that is motivated to learn more about the insurance industry and is eager to continue a career in claims. On the job training will be provided, and other educational resources will be available.
We are looking for a dedicated and detail-oriented Claims Representative/Senior Claims Representative to join our team and help us maintain our high standards of service.
Who we are: Great American Insurance Group, a leader in the property and casualty insurance industry, has been providing quality insurance solutions for over a century. We pride ourselves on our commitment to customer service, innovation, and a strong team-oriented culture. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG’s common stock is listed and traded on the New York Stock Exchange (“NYSE”) and NASDAQ under the symbol “AFG”. Claims Resolution Services is a shared service within the Corporate Claims division of Great American Insurance Group comprised of 22 staff members. Our staff has a wide range of experience and backgrounds. We have staff members with experience ranging from 30+ years to less than one year of experience.
What we do: We receive a variety of claims from several of Great American’s divisions involving property, general liability, professional liability, ocean marine, commercial auto, employer’s liability, aviation, and employment practices liability, in addition to handling Great American legacy claims
What you will be doing: A Claims Representative/Senior Claims Representative plays a crucial role in the insurance industry by managing and resolving insurance claims. The primary responsibility is to ensure that claims are handled efficiently, fairly, and in accordance with policy terms. Here’s a breakdown of a Senior Claim Representative’s typical duties:
- Investigates and Maintains Claims: Senior Claims Representatives gather information related to the claim, such as accident reports, statements from involved parties, photos, estimates, and any necessary documentation.
- Evaluating Claims: Assess the details of the claim, including policy coverage, the extent of damages, and liability.
- Communicating with Stakeholders: Senior Claims Representatives serve as the main point of contact on each claim for policyholders, agents, legal representatives, and other involved parties. They provide updates on the status of the claim, answer questions, and explain the claims process via both verbal and formal written communication. This includes conveying simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties and maintaining a professional demeanor in all situations.
- Negotiating Settlements: Senior Claims Representatives often negotiate settlements with claimants or their representatives. Senior Claim Representatives aim to reach agreements that are fair and within the limits of the policy coverage.
- Documenting and Reporting: Senior Claims Representatives maintain detailed and accurate records of all communications, investigations, and decisions related to the claim. This documentation is essential for ensuring compliance with company policies and legal requirements.
- Collaborating with Other Departments: Senior Claims Representatives may work with other departments, such as legal, underwriting, or special investigation units, to resolve claims. In Claims Resolution Services, a Senior Claims Representative also collaborates with Divisional leaders on complex claims.
- Ensuring Compliance: Ensure that all claims are handled in line with industry regulations and company guidelines. This includes staying updated on relevant laws and best practices. Complying with and adhering to each state’s handling requirements is an essential job function.
- Providing Customer Service: Throughout the claims process, Senior Claims Representatives focus on delivering excellent customer service by being responsive, empathetic, and professional. Exceptional customer service helps to maintain the company’s reputation and customer satisfaction.
In essence, a Claims Representative/Senior Claims Representative is responsible for managing the entire claims process from start to finish, ensuring that claims are resolved fairly, promptly, and in a manner that aligns with the coverage provided by the policy, the policyholder's needs and the company's guidelines.
Job Requirements
Education: Bachelor’s Degree or equivalent experience.
Field of Study: Liberal Arts, Business or a related discipline.
Experience: Generally, 6 months to 3 years of related experience.
This job is non-exempt in California, Colorado, New York, Washington
