Claims Technical Director/Senior Claims Specialist-Alternative Markets
Summit Consulting, Cincinnati, OH, United States
Claims Technical Director/Senior Claims Specialist-Alternative Markets page is loaded## Claims Technical Director/Senior Claims Specialist-Alternative Marketslocations:
Cincinnati, OH (USA):
Windsor, CT (USA):
New York, USAtime type:
Full timeposted on:
Posted Todayjob requisition id:
R8766**Be Here. Be Great.** Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.## **Alternative Markets specialized 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). Alternative Markets focuses on niche programs.****Alternative Markets is looking for a Senior Claims Specialist/Claims Technical Director to join their team. Ideally we are looking for candidates who can work out of our downtown Cincinnati office but we are also open to remote candidates. Job title and salary will be dependent upon successful applicant's level of experience.****Essential Job Functions and Responsibilities*** Investigates and maintains claims:
+ Reviews and evaluates coverage and/or liability to include tenders.
+ Secures and analyzes necessary information (i.e., 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.* Establish reserves and negation settlements within prescribed limits. Submit recommendations to supervisor when they exceed personal authority.* Conveys more 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 have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.* Performs other duties as assigned.**Job Requirements*** Education: Bachelor’s Degree or equivalent experience.* Field of Study: Liberal Arts, Business or a related discipline.* Experience: Generally, 10 or more years of related experience. New York Labor claims experience strongly preferred.**Business Unit:**Alternative Markets**Salary Range:**$100,000.00 -$135,000.00**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. 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. Learn more at . **\*Excludes seasonal employees and interns.**Great American Insurance Group understands the importance of choosing a financially strong company. We are an organization built for the long term and are committed to giving you that strength.For nearly 150 years, Americans have trusted us to protect them. Our innovative insurance solutions and specialization serves niche marketplaces that we know well. This expertise gives us a successful foundation that spans generations.You never know where a career in insurance will take you. Whether you are starting your career or are looking for a company to grow your experience, at Great American Insurance Group, you can join our more than 8,500 employees to “Be Here. Be GREAT!”*To learn more, visit our* #J-18808-Ljbffr
Cincinnati, OH (USA):
Windsor, CT (USA):
New York, USAtime type:
Full timeposted on:
Posted Todayjob requisition id:
R8766**Be Here. Be Great.** Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.## **Alternative Markets specialized 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). Alternative Markets focuses on niche programs.****Alternative Markets is looking for a Senior Claims Specialist/Claims Technical Director to join their team. Ideally we are looking for candidates who can work out of our downtown Cincinnati office but we are also open to remote candidates. Job title and salary will be dependent upon successful applicant's level of experience.****Essential Job Functions and Responsibilities*** Investigates and maintains claims:
+ Reviews and evaluates coverage and/or liability to include tenders.
+ Secures and analyzes necessary information (i.e., 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.* Establish reserves and negation settlements within prescribed limits. Submit recommendations to supervisor when they exceed personal authority.* Conveys more 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 have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.* Performs other duties as assigned.**Job Requirements*** Education: Bachelor’s Degree or equivalent experience.* Field of Study: Liberal Arts, Business or a related discipline.* Experience: Generally, 10 or more years of related experience. New York Labor claims experience strongly preferred.**Business Unit:**Alternative Markets**Salary Range:**$100,000.00 -$135,000.00**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. 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. Learn more at . **\*Excludes seasonal employees and interns.**Great American Insurance Group understands the importance of choosing a financially strong company. We are an organization built for the long term and are committed to giving you that strength.For nearly 150 years, Americans have trusted us to protect them. Our innovative insurance solutions and specialization serves niche marketplaces that we know well. This expertise gives us a successful foundation that spans generations.You never know where a career in insurance will take you. Whether you are starting your career or are looking for a company to grow your experience, at Great American Insurance Group, you can join our more than 8,500 employees to “Be Here. Be GREAT!”*To learn more, visit our* #J-18808-Ljbffr