Claims Specialist/Senior Claims Specialist-Alternative Markets

About the role

Great American Insurance Group's Alternative Markets division specializes in mono-line and/or multi-line primary programs on either a traditional guaranteed cost (Specialty Programs) or risk-sharing basis (Agency, Association or Group Captives), focusing on niche programs. 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.

Responsibilities

• Investigates and maintains claims: reviews and evaluates coverage and/or liability to include tenders.
• Secures and analyzes necessary information (e.g., reports, policies, contracts, releases, statements, or other documents) in the investigation of claims.
• Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary.
• Establishes reserves and negotiates settlements within prescribed limits; submits recommendations to supervisor when they exceed personal authority.
• Conveys complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Ensures that claims payments are issued in a timely and accurate manner.
• Ensures that claims handling is conducted in compliance with applicable statutes, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
• Provides technical advice to lower-level positions and other functional areas.
• May have responsibility for performance and coaching of staff and may participate in decisions regarding talent selection, development, and performance management for direct reports.
• Performs other duties as assigned.

Requirements

• Bachelor’s Degree or equivalent experience.
• Field of Study: Liberal Arts, Business, or a related discipline.
• Generally, 9 or more years of related experience.
• New York Labor claims experience strongly preferred.

Pay

Salary Range: $85,000.00 – $106,000.00

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.

*Excludes seasonal employees and interns.