Senior Medical Only Claims Representative
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Claims PL Casualty Complex Representative
Grange Insurance
Posted: 9/15/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing claims, evaluating compensability and liability, and negotiating settlements within authority limits. Proficient in analyzing insurance policies and maintaining detailed claim files while ensuring compliance with industry regulations.
Highest-signal resume keywords
Claims HandlingNegotiation SkillsAnalytical SkillsInsurance KnowledgeBachelor's Degree
About the role
Key responsibilities & impact- Manage an inventory of claims to evaluate compensability/liability
- Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages
- Determine and negotiate appropriate claim settlements/reserves within prescribed authority
- Attend arbitrations, mediations, depositions, or trials as needed
- Convey moderately complex information regarding coverage and settlements to insureds, claimants, and external partners
- Authorize payments within assigned authority limits and ensure timely payment
- Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
- Handle Medical Only claims
- Perform 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 5 years of experience in property and casualty claims handling
- Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
- Strong analytical, negotiation, and problem-solving skills
- Knowledge of insurance policies, coverage, and claims handling procedures
- Knowledge of industry laws and regulations
- Ability to organize and prioritize caseloads, ensuring timely resolution of claims
- Excellent interpersonal and communication skills
- Ability to build relationships and lead negotiations
- Proven ability to handle confidential information with discretion
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Wellness plans
- Parental leave
- Adoption assistance
- Tuition reimbursement
- Paid Time Off
- Paid holidays
- 401(k) plan with company match
- Employee stock purchase plan
- Commuter benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims EvaluationSettlement NegotiationClaims InvestigationMedical Only Claims HandlingClaims Procedures Knowledge
Soft Skills
Interpersonal SkillsCommunication SkillsProblem-Solving SkillsOrganizational Skills
Certifications & Qualifications
Associate in Claims (AIC)
Industry Keywords
Property and Casualty ClaimsInsurance PoliciesCoverageLiabilityRegulatory Compliance