Casualty Claims Representative/Senior Claim Representative-Specialty Human Services

About the role

The Specialty Human Services Division (SHS) is seeking a Casualty Claim Professional in our downtown Cincinnati office. SHS has been serving the Human and Social Services sector since 1980, offering niche coverage solutions to nonprofit and service organizations.

Responsibilities

• Manages a large inventory of claims to evaluate compensability/liability
• Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages
• Determines and negotiates appropriate claim settlements/reserves within prescribed authority
• Attends arbitrations, mediations, depositions, or trials
• Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners
• Authorizes 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

Requirements

• Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Political Science, Pre-law, Paralegal or a related field or equivalent experience
• Experience: Generally, a minimum of 3-6 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)

Qualifications

• Works within significant limits and authority on assignments of higher technical complexity and coordination
• Demonstrates strong analytical, negotiation, and problem-solving skills
• Demonstrates knowledge of insurance policies, coverage, and claims handling procedures
• Maintains knowledge of industry laws and regulations
• Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims
• Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations
• Proven ability to handle confidential information with discretion

Skills

• Strong analytical, negotiation, and problem-solving skills
• Knowledge of insurance policies, coverage, and claims handling procedures
• Ability to organize and prioritize caseloads, ensuring timely resolution of claims
• Excellent interpersonal and communication skills
• Proven ability to handle confidential information with discretion

Benefits

• Competitive benefits packages for full-time and part-time employees
• Medical, dental, and vision coverage
• Wellness plans
• Paid time off and paid holidays
• 401(k) plan with company match
• Employee stock purchase plan
• Commuter benefits

Pay

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.

Schedule

Employees are expected to be on-site four days a week, with the flexibility to work one day remotely.