Claims Specialist - Professional Liability
$90k - $135kGreat American Insurance Group
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.
This position is not eligible for employment visa sponsorship. Applicants must be authorized to work in the United States without the need for current or future sponsorship.Great American’s Professional Liability Division offers medical and non-medical service providers protection from claims alleging an act, error or omission by the firm, its staff or contractors working on its behalf. The Division recognizes every industry has its own unique needs and develops customized coverage solutions for specific professional liability exposures.
The Professional Liability Division is looking for a Financial Products Claims Specialist. This individual will work on a variety of claims including Design Professionals, Real Estate, Small Accountants and Medical Professional Liability. The ideal candidate would work fully remotely and be located on the East Coast.
Essential Job Functions and Responsibilities
- Investigates, evaluates, and adjusts Design Professional, Real Estate, Small Accountants, and Health Care Professional claims.
- Reviews and evaluates coverage and/or liability.
- Draft coverage position letters.
- Retains and directs approved consultants and outside counsel. Responsible for maintaining cost controls and overseeing the work of outside counsel.
- Prepares periodic claims reports and financial evaluations.
- Set reserves within prescribed limits and submit written recommendations for reserves outside authority.
- Ensures that claims payments are issued in a timely and accurate manner.
- Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
- As directed, may assist Underwriting, Marketing, Risk Management, and Loss Prevention with projects, including evaluating potential new business.
- 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.
Qualifications
- Generally, 2 to 5 years of related experience. Bachelor’s Degree or equivalent experience or may possess LLM (Master of Law) or JD (Juris Doctorate) and current attorney license with 2 to 5 years of post-bar experience.
- Works on moderate to highly complex assignments requiring knowledge in breadth and / or depth within Professional Liability claims, including but not limited to Design Professionals, Real Estate Professionals, Accountants, and Health Care Professionals.
- Must be a highly effective communicator, both verbally and in writing. Able to communicate effectively with people at all levels from across the organization and with external customers and prospects.
- Extensive use of computers and software programs, including MS Word, Excel, PowerPoint, as well as the ability to learn third-party and proprietary software as required.
Business Unit:
Professional Liability
Salary Range:
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.
- MEDHOST, now a Harris Computer company, is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. This remote role requires learning multiple hospital systems and working with payors to secure payment...SuggestedRemote work
$19.39 per hour
...quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following... ...to next level of supervision as appropriate and ensures a professional line of communication is maintained with internal and external...SuggestedFor contractorsLocal areaRemote work$50k - $55k
...Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY... ...and agent or broker when appropriate. Maintains professional client relations. Performs coverage, liability, and damage analysis on all claims assignments....SuggestedFull timeContract workWork at officeLocal areaFlexible hours- A claims adjustment company is seeking independent insurance claims adjusters in Pennsylvania. This role offers the chance to make... ...a Licensed Claims Adjuster, seize this opportunity to advance your professional journey today. #J-18808-Ljbffr MileHigh Adjusters HoustonSuggestedFlexible hours
- ...Solicitation, Offer, Award, Program Management, Manufacturing, Quality, Packaging & Shipping, and Invoicing One of the following professional certifications: CFCM (Certified Federal Contracts Manager) or CPCM (Certified Professional Contracts Manager) or the willingness...SuggestedContract workFor subcontractorWork at officeShift workWeekend workDay shiftAfternoon shift
- Accelerated Claims Inc is seeking an Account Representative (Claims Specialist) to remotely manage medical claim research, resolution, and payment recovery in a fast-paced environment. The role involves direct interaction with insurance carriers and strict HIPAA compliance...Remote jobWork at office
- ...Sedgwick is hiring a Workers' Compensation Examiner to analyze and adjudicate claims for clients across NJ and PA. The role supports a hybrid work model with a focus on delivering accurate benefit determinations and timely adjudication. The ideal candidate will have 3...Remote work
$30 - $35 per hour
...family-oriented company that empowers its employees. Based in Lititz, PA, this role is an ideal opportunity for an experienced professional who is passionate about commercial service. You'll use your expertise to build relationships with customers, solve complex problems...Hourly pay- ...Insurance Producer Construction Industry Specialist Lancaster, PA Build Your Career... ...opportunity for an insurance professional who understands the unique risks facing... ...and transportation exposures General liability and excess liability programs Builders...Temporary workFor contractors
$28 - $36 per hour
...employees, customers, and communities. We believe great people deserve great careers-not just jobs. Our technicians are trusted professionals, equipped with the tools they need to succeed, and supported by leadership that values safety, integrity, teamwork, and continuous...Hourly payLocal area$18.5 - $42.35 per hour
...Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines.... ...Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies...Hourly payFull timeWork experience placementLocal areaRemote work- ...traceability and purity of biological substances and products.Job DescriptionEurofins Professional Scientific Services NBLSC, LLC (Eurofins PSS) is searching for a Principal Legal Specialist to join our team. This role will have full responsibility ensuring the most...Full timeContract workWork at officeRemote workMonday to FridayFlexible hours1 day per week
- A leading claims adjustment firm in Lititz, PA is seeking a Licensed Independent Insurance Claims Adjuster to join their team. This role offers a unique opportunity to assist individuals and businesses in recovery from unforeseen disasters while enjoying a flexible work...Flexible hours
$55k - $65k
...0.00 Job Category: Sales - Comparion Description Comparion Insurance Agency is hiring self-motivated, relationship-driven professionals for a rewarding outside sales career. This role offers autonomy and flexibility to build your career, grow your earnings, and make...Work at officeLocal area$69k
...environment Qualities We Value Willingness to learn and be coached through structured training Friendly, outgoing, and professional communication style Genuine desire to help others by providing guidance and solutions Strong verbal communication and relationship...Remote workWork from homeFlexible hours- ...Insurance Sales RepresentativeComparion Insurance Agency is hiring self-motivated, relationship-driven professionals for a rewarding outside sales career. This role offers autonomy and flexibility to build your career, grow your earnings, and make a meaningful impact by...Full timeWork at officeLocal area
- ...matters most is your ambition, resilience, and willingness to learn. We'll provide in-depth training, mentorship from experienced professionals, and proven strategies to help you succeed.In this role, you'll:Learn the business from the ground up through hands-on and...For contractorsSelf employmentLocal area
- ...Insurance Authorization Specialist Penn Medicine is dedicated to our tripartite mission... ...top clinical, technical and business professionals across all disciplines. Today at Penn Medicine... ...researches denials to resolve denied claims with the appropriate payer and/or...Work at office
$20 - $22 per hour
...Representative / Lead Generator, you will:Engage with customers in a retail store environment.Approach shoppers and start friendly, professional conversations.Ask questions to understand customers' home comfort needs.Educate customers about HVAC, plumbing, tune-ups,...Hourly payFull timePart timeWork at officeRelocation packageFlexible hoursWeekend work- ...Computer experience and Facilities ticketing experience preferred Effective written/verbal English language communication skills, professional email and telephone manner We are committed to building diverse, equitable, and inclusive workplaces that improve our...Hourly payWork at officeRemote work
$18 - $19.5 per hour
...Agency enrollment responsibilities. Representatives must be able to appropriately adjust their communication style when assisting professional callers, including providers, agencies, and therapists, as well as parents/guardians who may require additional explanation or...Hourly payPermanent employmentFull timeImmediate startRemote workMonday to FridayFlexible hoursShift work- ...their benefits, and features. Assist with setting appointments, completing welcome calls and health assessments. Provide professional consumer experience by utilizing effective listening and communication skills. Maintain our high standard of ethical conduct....Remote workFlexible hoursAfternoon shift
- ...EMPATHETIC – They can see the world through the eyes of someone else and understand how that should change their own reaction. PROFESSIONAL – They conduct themselves in all things professional with customers, co-workers, and themselves. GRATEFUL – They walk in a...Full timeWork at officeFlexible hours
- ...National Accounts continues to sustain an exhilarating growth rate, and with the desire for expansion, comes ample opportunities for professional development and the chance to impact the trajectory of an ever-evolving business unit. We're looking for hungry and humble...H1bRemote workHome office
- ...carriers and productsOpportunities for career growth and leadership developmentSupportive team culture with ongoing coaching and professional developmentRequirements:Insurance license (or willingness to obtain one – we provide guidance)Strong communication and...Full timeRemote workFlexible hours
- ...customer service and working with people Strong commitment to teamwork Strong communication skills, including the ability to professionally communicate verbally to customers Ethical, honest, trustworthy, respectful, compassionate, supportive and patient...Full timePart timeCasual workAll shiftsFlexible hoursShift workWeekend work
$57.39k - $86.07k
...standards for services and evaluation of customer satisfaction. Must possess tact, good judgment, poise, initiative and maintain a professional appearance at all times. Possess excellent organizational skills to permit the production of transcripts within strict time...Full timeWork at officeRemote workFlexible hours- ...selection of stylish eyewear that meets the diverse needs of our patients. This role provides a chance for you to build your professional career with an organization that is purposeful and whose values drive actions. You would have the opportunity to prioritize the...Full timeWork at officeShift workWeekend workAfternoon shift
$16 - $18 per hour
...marketing relevant products and services. Grow your career as you improve your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team.Benefits:401(k) matchingBonus based on performanceCompetitive salaryOpportunity for...For contractorsWork at office- ...details. Experience with EHR scheduling systems is preferred to streamline workflow. The role supports efficient patient flow and accurate record-keeping in a fast-paced medical office environment, with emphasis on HIPAA compliance and professional #J-18808-LjbffrWork at officeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Specialist - Professional Liability. Be the first to apply!






