Claims Representative managing insurance claims for Great American Insurance Group. Evaluating liability and negotiating settlements while working in a hybrid model from Cincinnati, OH.
About the role
- Fraud Triage Specialist responsible for identifying fraud indicators in insurance claims. Analyzing information and collaborating with investigative teams within the Claims department.
Responsibilities
- Identify fraud indicators in insurance claims by collecting and analyzing information to determine if further investigation is required for assignment to our Inside Investigation Team.
- Utilize fraud analytic tools to review leads and determine viability of information
- Participate and/or manage project work, by working with members of the Investigative Services and other Claims departments to deliver on project goals
- Communicate in a timely and respectful manner with stakeholders (internal and external) when making decisions and/or providing feedback on leads, tips, and projects
- Consult with internal and external stakeholders to improve fraud identification strategies, financial tracking, and support business initiatives
- Innovate investigative strategy and support artificial intelligence initiatives for claims (all lines of business)
Requirements
- A minimum of 2 years claims experience in either auto, accident benefits, property, or casualty
- Knowledge of provincial legislation governing auto insurance
- Strong analytical and decision-making skills
- Strong communication and time management skills
- Excellent written and verbal communication skills
- A friendly and can-do attitude
- University degree or college diploma and/or equivalent business experience
- Completed, or are working toward, Chartered Insurance Professional (CIP) designation
- Strong data analysis skills, creative thinking skills
- Ability to identify fraud indicators and innovate investigation strategy
- Familiarity with Artificial Intelligence initiatives and practical applications
- Additional claims experience (in a different line of business: auto, property, accident benefits, casualty)
- Additional investigation experience in the insurance and/or financial industry
- Bilingualism in English and French is an asset
Benefits
- Flexible work arrangements and a hybrid work model
- Possibility to purchase up to 5 extra days off per year
- Multiple benefits offered to support physical and mental wellbeing, including telemedicine, Wellness account and much more
- Share plan & other savings: up to 12% of salary or even more
- Annual bonus target, based on the base salary, with a potential payout of up to double the target (subject to personal and company performance): 5%
- Pension offerings providing flexibility and long-term security for employees
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Claims Representative handling entry - level insurance claims at Auto - Owners Insurance. Investigating, evaluating, and settling claims under close supervision in a merit - based work - from - home program.
Claims Processor at Highmark overseeing claims adjustments and inquiries. Responsible for processing complex claims and ensuring timely resolution of payment determinations.
Claims Adjuster managing complex indemnity claims at AvonRisk. Collaborating with teams to ensure accurate claim management and compliance with legal requirements.
Workers Compensation Claims Adjuster III managing complex claims at AvonRisk. Reports to Claims Supervisor and oversees assigned inventory with a focus on professional growth and support.
Claims Adjuster managing complex workers' compensation claims for AvonRisk. Ensuring timely and effective case management with a focus on solutions and collaboration.
Disability Claims Analyst at RBC Insurance evaluating disability claims and communicating with clients. Collaborating with cross - functional teams and managing high - volume cases.
Disability Claims Specialist evaluating disability claims at RBC Insurance. Collaborating across teams to ensure excellent client service and effective claims management.
Multi - Line Claims Adjuster handling high - value liability, property, and automobile claims for municipal clients. Engaging with attorneys and managing litigation from start to finish.
Lead role investigating and maintaining complex property claims in East/Central Missouri. Field - based position requiring customer interaction and extensive claims expertise.