Claim Operations Representative II/Sr. Claim Operations Representative
Posted on: 19 Feb 2022
Cincinnati, OH
Job Description
Essential Job Functions and Responsibilities:
Demonstrates working knowledge of the claim operation and learns to resolve routine incoming operations partners’ requests
Perform claim operations and payment functions for one or more lines;
Complete new loss establishment within the claim system, including statistical coverage verification and document upload to electronic claim filing system
Complete financial transaction support for either loss or expense payments, loss or expense reserves, loss or expense refunds
May perform systems functions, including determining errors/corrections on claims system(s).
May coordinate/maintain contractor system, assigned manuals, repetitive payment schedule and bulk billing system.
Update claim files and maintains, corrects and/or updates data using office technology
Learns basic claim handling and how support is necessary
Composes, prepares, reviews, and responds to correspondence including inquires that may take additional research prior to responding
Perform mail functions including research to identify recipient for misdirected mail within the company or externally
Exhibits ability to use appropriate resources necessary to complete support requirements
Exhibits ability to actively seek information to understand operations partners’ circumstances, problems, expectations and needs, for the purpose of resolving inquiries/issues
Shares and/or conveys information to business partners, regarding their claims; maintains a professional demeanor in all situations.
Becomes familiar with and utilizes computerized systems for policy analysis, claims operations requirements and related data management systems, information gathering and/or troubleshooting.
May provide assistance to Claims department in areas requiring beginner to intermediate skills or knowledge.
May assist in training less experienced Claim Operations Professionals
Complies with company and regulatory guidelines
Performs all other duties as assigned
Participate in industry based continued education
American Financial Group
Cincinnati, OH
American Financial Group, Inc. is a holding company based in Cincinnati, Ohio and founded in 1959. Our insurance roots go back to 1872 with the founding of Great American Insurance Company. Today, through the operations of Great American Insurance Group, AFG is engaged in property and casualty (P&C) insurance, focusing on specialized commercial products for businesses, and in the sale of traditional fixed and fixed-indexed annuities. We are proud to provide insurance products that help businesses manage their unique financial risks and exposures and annuity products that help individuals protect their financial futures.
AFG’s Specialty P&C Group is comprised of over 30 diversified businesses offering a wide range of specialty commercial coverages in three major groupings: Property and Transportation, Specialty Casualty and Specialty Financial. Our Annuity operations are focused on sales of traditional fixed, fixed-indexed and variable-indexed annuities in the retail, financial institutions, broker-dealer and registered investment advisor markets. Our Annuity Group enjoys a long history in the industry, with long-term, strong agent relationships and a reputation for simple, consumer-friendly products.
A diversified business model with P&C and annuity operations has worked well for us; many of our businesses are among the top performers in their respective industries. Our business has entrepreneurial spirit at its core, with a focus on accountability. Business autonomy in our Specialty P&C and Annuity operations facilitates agility in underwriting, claims and policy servicing, and enables these businesses to develop distribution strategies and relationships in the unique markets they serve.
AFG’s in-house investment management team oversees a portfolio of nearly $50 billion, and produces returns that have consistently outperformed industry benchmarks. Fixed income securities, primarily investment grade bonds, account for about 92% of our total investments. Approximately 91% of our fixed maturity investments are rated investment grade by nationally recognized rating agencies, with 98% rated NAIC 1 or 2, NAIC's highest ratings. Stocks, real estate, policy loans and other investments make up the remainder of the portfolio.
We believe that superior underwriting results, superior investment talent and intelligent deployment of capital lead to long-term value creation for our shareholders. With the power of generations behind it, AFG grows and changes with discipline and integrity. We're proud of who we are, where we've been and where we're going. Our industry is changing and we continue to change as well. We strive to provide quality products and service to our customers and agents, offer a rewarding work environment for our employees, and build value for our shareholders.
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IndustryBanking/Financial Services
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No. of Employees7,600+
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Website
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Jobs Posted22
