Claims Representative – Medical Only

Cisco

Claims Representative managing an inventory of claims and evaluating compensability for workers compensation claims at Great American Insurance Group. Responsibilities include conducting investigations, negotiating settlements, and maintaining detailed claim files.

Posted 4/22/2026full-timeGainesville • Illinois, Kentucky, North Carolina, South Carolina, Tennessee, Virginia • 🇺🇸 United StatesJunior💰 $56,400 - $75,600 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
Generally, a minimum of 6 months of experience in property and casualty claims handling
Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
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.

Benefits

Comp & perks

medical, dental, and vision coverage
wellness plans
parental leave
adoption assistance
tuition reimbursement
Paid Time Off and paid holidays
401(k) plan with company match
employee stock purchase plan
commuter benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims handlingnegotiationanalytical skillsproblem-solvinginsurance policies knowledgeclaims handling procedurescoverage determinationliability evaluationsettlement negotiationtimely payment authorization

Soft Skills

interpersonal skillscommunication skillsrelationship buildingorganizationprioritizationdiscretionconfidentiality

Certifications

Bachelor’s DegreeAssociate in Claims (AIC)