Summit provides independent insurance agents and their clients with market-leading workers’ comp insurance and elite customer service. We’re growing and currently serve more than 7,000 independent agents and 31,000 policyholders across the South, Midwest, and Mid-Atlantic.
Our strength comes from a single-minded focus on workers’ comp and a commitment to long-term customer relationships. Summit is who you turn to when you need a specialist who not only knows workers’ comp but also gets to know your business and your priorities.
Our field team members are located in every state in which we operate.
Summit is a member of the Great American Insurance Group where our highest goal is for all employees to feel included, respected, and empowered 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.Essential Job Functions and Responsibilities
- Manage claims involving severe traumatic injuries, spinal cord injuries, traumatic brain injuries, amputations, severe burns, polytrauma, and other catastrophic conditions.
- Monitors, coordinates, and evaluates complex and catastrophic workers' compensation claims to ensure appropriate, effective, and cost-efficient medical care.
- Identify current and anticipated medical needs, including hospitalization, rehabilitation, durable medical equipment (DME), home health services, attendant care, and specialty treatment.
- Coordinates medical services with physicians, specialists, rehabilitation providers, hospitals, home health agencies, and ancillary vendors to facilitate continuity of care.
- Identifies barriers to recovery, treatment compliance, and return-to-work progression and develops appropriate action plans to address them.
- Serves as a clinical resource to claims professionals, employers, providers, injured workers, and other stakeholders by providing recommendations regarding medical treatment, prognosis, and disability management.
- Maintains accurate and timely documentation, clinical summaries, recommendations, and claim notes while ensuring compliance with workers' compensation regulations, nursing standards, and company policies.
- Evaluate requests for field case management and other specialized medical management services.
- Performs other duties as assigned.
- The individual selected for this role will be based in one of our three office locations: Baton Rouge, LA; Gainesville, GA; or Lakeland, FL. These offices provide a hybrid work model, consisting of 4 days in the office and 1 day working remotely. For candidates located outside this region, full-time remote may be considered in current operating states, although some travel will be necessary.
#LI-Hybrid
Job Requirements
Education: Associate Degree in Nursing required. Bachelor of Science in Nursing (BSN) preferred. Current unrestricted Registered Nurse (RN) license required; Compact RN licensure preferred.Experience: Minimum of 5 years of direct clinical nursing experience required, preferably in acute care, trauma, critical care, rehabilitation, or a related specialty. Preferred 3-5 years of catastrophic workers' compensation case management experience with a demonstrated ability to manage complex, high-exposure claims from initial referral through claim resolution. Experience navigating workers' compensation regulations, medical management practices, treatment guidelines, utilization review processes, and return-to-work programs across multiple state jurisdictions is strongly preferred.Scope of Job/Qualifications: Extensive knowledge of workers' compensation medical management principles, evidence-based treatment guidelines, and disability management practices. Strong ability to assess complex medical conditions, analyze medical records, identify barriers to recovery, and develop effective case management strategies. Excellent organizational, written, verbal, and interpersonal communication skills. Ability to collaborate with multidisciplinary teams and manage multiple priorities while maintaining confidentiality. Demonstrated proficiency with claims management systems, electronic medical records, and Microsoft Office applications. Viewed as a clinical resource for complex and catastrophic claims management.
Work Arrangement: This position may be structured as either a hybrid or fully remote role. Hybrid work arrangements are available for internal and external candidates. A fully remote work arrangement may be considered for highly qualified external candidates who demonstrate extensive experience in catastrophic workers' compensation case management, proven success managing complex claims independently, and the ability to effectively collaborate and achieve outcomes in a remote work environment. Final work arrangement will be determined based on qualifications, experience, and business needs
Preferred Certifications: Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Certified Rehabilitation Registered Nurse (CRRN), or equivalent case management certification.
Company:
SCI Summit Consulting, LLCBenefits:
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 http://www.gaig.com/careers.
*Excludes seasonal employees and interns.
Skills Required
- Associate Degree in Nursing
- Bachelor of Science in Nursing (BSN)
- Current unrestricted Registered Nurse (RN) license
- Compact RN licensure
- Minimum of 5 years direct clinical nursing experience (acute, trauma, critical care, rehabilitation preferred)
- 3-5 years catastrophic workers' compensation case management experience
- Proficiency with claims management systems, electronic medical records, and Microsoft Office applications
- Extensive knowledge of workers' compensation medical management, evidence-based treatment guidelines, and disability management practices
- Excellent organizational, written, verbal, and interpersonal communication skills
- Authorization to work in the United States without current or future visa sponsorship
- Preferred certifications: CCM, CDMS, CRRN, or equivalent
Great American Insurance Group Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Great American Insurance Group and has not been reviewed or approved by Great American Insurance Group.
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Leave & Time Off Breadth — PTO, paid holidays, and paid parental leave are positioned as generous from the first year. These time‑off provisions are seen as core strengths of the total package.
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Healthcare Strength — Health coverage includes comprehensive medical, dental, and vision options supported by HSA and FSA programs. Wellness resources such as EAP access, fitness facilities or reimbursements, and instructor‑led classes broaden the offering.
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Retirement Support — Immediate 401(k) eligibility with a competitive company match and potential discretionary retirement contributions support long‑term savings. An employee stock purchase option and various discounts further reinforce financial benefits.
Great American Insurance Group Insights
What We Do
Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses. We have more than 30 specialty property and casualty insurance businesses, and in 2021, approximately 50% of our gross written premium in our property and casualty operations was generated by business units with a Top 10 market ranking. Great American Insurance Company has received an "A" (Excellent) or higher rating from the AM Best Company for more than 110 years (most recent rating evaluation of "A+" (Superior) affirmed December 3, 2021). The members of Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio.
