Claims Representative Job at Great American Insurance Group, Cincinnati, OH

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  • Great American Insurance Group
  • Cincinnati, OH

Job Description

Great American’s Trucking Division is a leading provider of insurance products for the long-haul trucking industry and specializes in service to Owner-Operators. Our focus on trucking started in the early 1990s with the development of a trucking Physical Damage policy. Since then, it has evolved to include a complete suite of products and services supporting the independent contractor including Physical Damage, Non-Trucking Liability, Occupational Accident, Contingent Liability, our signature Rig Ready® repair service, Deductible Buyback and TruXpro®, which includes downtime and rental reimbursement. Our experienced team is dedicated entirely to trucking, all day, every day. This niche expertise allows us to provide the products drivers need and the service they deserve to get them back on the road faster.

The Trucking Division is looking for a Claims Representative to join the Occupational Accident Claims team in our Cincinnati, OH office. Candidates with previous medical case management or previous claims experience are encouraged to apply!

Essential Job Functions and Responsibilities

  • Manages an inventory of claims to evaluate compensability/liability.
  • Conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
  • Determines and may negotiate appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
  • Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
  • May authorize payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
  • Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
  • Performs other duties as assigned.

Job Requirements

  • Experience with claims handling from beginning to end stage.
  • Generally, 1 to 3 years of related experience. Auto Liability, medical backgrounds, including nursing or nurse case management, medical cases management are acceptable.
  • Works within specific limits and authority on assignments of moderate technical complexity and coordination.
  • Demonstrates functional analytical, negotiation, and problem-solving skills.
  • Demonstrates knowledge of insurance policies, coverage, and claims handling procedures.
  • Develops and maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.
  • Strong interpersonal and communication skills with the ability to build relationships and handle negotiations. Proven ability to handle confidential information with discretion.

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