Claims Specialist/Senior Claims Specialist-Alternative Markets

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Legal & ComplianceClaims Specialist

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Quick Summary

Key Responsibilities

Reviews and evaluates coverage and/or liability to include tenders. Secures and analyzes necessary information (i.e., reports, policies, contracts, releases, statements,

Requirements Summary

Bachelor’s Degree or equivalent experience. Field of Study: Liberal Arts, Bus

Technical Tools

Legal & ComplianceClaims Specialist

What We Offer

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https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets

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 http://www.gaig.com/careers.

Responsibilities

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Investigates and maintains claims:
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  Reviews and evaluates coverage and/or liability to include tenders.
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  Secures and analyzes necessary information (i.e., reports, policies, contracts, releases, statements, or other documents) in the investigation of claims.
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Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary.
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Establish reserves and negation settlements within prescribed limits. Submit recommendations to supervisor when they exceed personal authority.
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Conveys more complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
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Ensures that claims payments are issued in a timely and accurate manner.
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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.
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Provides technical advice to lower level positions and other functional areas.
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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.
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Performs other duties as assigned.

Requirements

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

Alternative Markets

$85,000.00 -$106,000.00