Senior Claims Representative/Claims Specialist-Specialty Human Services Division at American Family Insurance Group

Cincinnati, Ohio, United States

Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Insurance, Property and CasualtyIndustries

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 5-7 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 with the ability to build relationships and lead negotiations
Proven ability to handle confidential information with discretion

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
May attend 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
Performs other duties as assigned