Senior Medical Claims Representative

🔥 14 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $69.6k - $92.4k / year

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 0%

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Great American Insurance Group

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🛡️ Insurance

🤝 B2B

Insurance • B2B

Great American Insurance Group is a U. S. -based specialty insurance company that provides a wide range of commercial insurance products and services to businesses and niche industries. With more than 150 years of history and headquarters in Cincinnati, Ohio, Great American offers tailored coverages including property & inland marine, equine mortality, transportation, professional liability, trade credit, cyber risk, and employer health solutions through numerous specialty divisions and international branches. It is a group of insurance companies that are subsidiaries of American Financial Group and emphasizes financial strength, claims expertise, and industry-focused underwriting for primarily business customers.

📋 Description

• Manage an inventory of claims to evaluate compensability/liability • Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages • Determine and negotiate appropriate claim settlements and reserves within prescribed authority • Attend arbitrations, mediations, depositions, or trials as needed • Convey moderately complex coverage and settlement information to insureds, claimants, and external partners • Authorize payments within assigned authority limits and ensure timely payment • Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements • Handle Medical Only claims • Perform other duties as assigned

🎯 Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience • Generally, a minimum of 5 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) • Strong analytical, negotiation, and problem-solving skills • Knowledge of insurance policies, coverage, and claims handling procedures • Knowledge of industry laws and regulations • Ability to organize and prioritize caseloads, ensuring timely resolution of claims • Excellent interpersonal and communication skills • Ability to build relationships and lead negotiations • Proven ability to handle confidential information with discretion

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Wellness plans • Parental leave • Adoption assistance • Tuition reimbursement • Paid Time Off • Paid holidays • 401(k) plan with company match • Employee stock purchase plan • Commuter benefits