Claims Representative – Occupational Accident
| Company | American Financial Group |
|---|---|
| Location | Cincinnati, OH, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior, Mid Level |
Requirements
- Experience with claims handling from beginning to end stage.
- Generally, 1 to 3 years of related experience. Medical backgrounds, including nursing or nurse case management, are acceptable.
- Works within specific limits and authority on assignments of moderate technical complexity and coordination.
- Demonstrates functional analytical, negotiation, and problem-solving skills.
- Demonstrates knowledge of insurance policies, coverage, and claims handling procedures.
- Develops and maintains knowledge of industry laws and regulations. Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.
- Strong interpersonal and communication skills with the ability to build relationships and handle negotiations. Proven ability to handle confidential information with discretion.
Responsibilities
- Manages an inventory of claims to evaluate compensability/liability.
- Conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
- Determines and may negotiate appropriate claim settlements/reserves within prescribed authority. May attend arbitrations, mediations, depositions, or trials.
- Conveys routine to moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
- May authorize 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.
Preferred Qualifications
-
No preferred qualifications provided.